Zamir O, Hod G, Lernau O Z, Mogle P, Nissan S
Am Surg. 1985 Mar;51(3):170-2.
Ingestion of acid often causes severe damage to the stomach. Ingestion of alkali, however, usually injures the esophagus and spares the stomach. Early complications of acid ingestion, e.g., massive gastric hemorrhage or perforation, are unusual. The absence of severe symptoms in most patients soon after ingestion of acid is often misleading. Gastric outlet obstruction is a common late result and may develop following an asymptomatic interval. The authors' experience with three patients with severe complications following ingestion of acid is presented. The initial treatment, as well as the surgical management, are discussed.
摄入酸性物质常导致胃部严重损伤。然而,摄入碱性物质通常会损伤食管,而胃部不受影响。酸性物质摄入的早期并发症,如大量胃出血或穿孔,并不常见。大多数患者在摄入酸性物质后不久没有严重症状,这常常会产生误导。胃出口梗阻是常见的晚期结果,可能在无症状期后出现。本文介绍了作者对三名酸性物质摄入后出现严重并发症患者的治疗经验。讨论了初始治疗以及手术管理。