Furlano Emma R, Wu Gregory P, Vosburgh Brendan, Waldman Cameron R, Noonan Jessica, Bracey Alexander
Albany Medical Center, Department of Emergency Medicine, Albany, New York.
Albany Medical Center, Department of Medicine, Division of Pulmonary Critical Care Medicine, Albany, New York.
Clin Pract Cases Emerg Med. 2024 Feb;8(1):77-79. doi: 10.5811/cpcem.1436.
We describe a case of a man who developed severe caustic injury of his upper gastrointestinal tract after ingestion of a commercially available 9.5% hydrochloric acidic cleaning solution. He rapidly deteriorated and required endotracheal intubation. He underwent several imaging modalities demonstrating his injuries and ultimately succumbed to his injuries.
Acidic caustic ingestions may range in severity and uncommonly result in death. Diagnosis is most often achieved by esophagogastroduodenoscopy, although computed tomography may increasingly play a role in defining the extent of injury. Esophagogastroduodenoscopy findings are often assigned a Zargar grade, which guides management. Medical management of acidic caustic ingestion may include bowel rest, steroids, antibiotics, and proton pump inhibitors depending on the extent of injury, although surgery may be required if esophageal perforation occurs.
我们描述了一例男性病例，该男子在摄入市售的9.5%盐酸清洁溶液后，上消化道发生了严重的腐蚀性损伤。他的病情迅速恶化，需要进行气管插管。他接受了多种影像学检查以显示其损伤情况，最终因伤死亡。
酸性腐蚀性物质摄入的严重程度各异，很少导致死亡。诊断通常通过食管胃十二指肠镜检查来实现，尽管计算机断层扫描在确定损伤程度方面可能越来越发挥作用。食管胃十二指肠镜检查结果通常会被赋予一个扎尔加等级，这有助于指导治疗。酸性腐蚀性物质摄入的药物治疗可能包括根据损伤程度进行肠道休息、使用类固醇、抗生素和质子泵抑制剂，不过如果发生食管穿孔可能需要进行手术。
