Sellars S L, Spence R A
Department of Otolaryngology, Groote Schuur Hospital, Observatory, South Africa.
J Laryngol Otol. 1987 Nov;101(11):1211-3. doi: 10.1017/s0022215100103524.
Chemical burns of the oesophagus caused by ingestion of corrosives present a difficult and potentially dangerous problem of management. Initial failure to recognize the seriousness of the injury and inexperience in the handling of the severer burn may result in consequences which are both life-threatening and life-long. Analysis of 95 patients who had ingested caustic substances is presented. Ninty-one sustained burns of the mouth, 39 of the hypopharynx or oesophagus, and 31 had laryngeal burns. Sixty-three were children of 15 years and under. Caustic soda, especially in children, was the most common substance ingested. Severe oesophageal strictures developed early in 17 patients and in a further 21 oesophageal stricturing occurred late. A protocol for the management of these patients is discussed.
因摄入腐蚀性物质导致的食管化学灼伤是一个处理起来困难且具有潜在危险的问题。最初未能认识到损伤的严重性以及处理较严重灼伤时缺乏经验，可能会导致危及生命和影响终身的后果。本文对95例摄入苛性物质的患者进行了分析。91例有口腔烧伤，39例有下咽或食管烧伤，31例有喉部烧伤。63例为15岁及以下儿童。苛性钠，尤其是在儿童中，是最常见的摄入物质。17例患者早期出现严重食管狭窄，另有21例后期发生食管狭窄。本文讨论了这些患者的处理方案。
