Schild J A
Laryngoscope. 1985 Oct;95(10):1199-201. doi: 10.1288/00005537-198510000-00009.
Sixteen adult patients who ingested caustic substances were seen from 1977 through 1984. All patients underwent endoscopy to determine the site and severity of burns; mild hyperemia to severe, penetrating necrosis was detected in each patient. Ten ingestions were intentional, 4 accidental, and 2 questionably accidental. Morbidity and mortality were high, especially in patients who ingested caustic materials intentionally. A protocol for treatment with steroids and antibiotics was followed in half the patients studied. Those patients who completed this regime tended to have moderately severe burns. Caustic ingestion in adults must be viewed as a problem different from that of accidental ingestion in children. Since most adult caustic ingestions are intentional, the injuries are worse, more deaths result, and more severe scars causing permanent disability are a frequent outcome.
1977年至1984年间，共收治了16例摄入腐蚀性物质的成年患者。所有患者均接受了内窥镜检查，以确定烧伤的部位和严重程度；每名患者均检测出从轻度充血到严重的穿透性坏死。其中10例为故意摄入，4例为意外摄入，2例存疑。发病率和死亡率都很高，尤其是故意摄入腐蚀性物质的患者。在一半的研究患者中遵循了使用类固醇和抗生素的治疗方案。完成该治疗方案的患者往往有中度严重烧伤。成人腐蚀性物质摄入必须被视为与儿童意外摄入不同的问题。由于大多数成人腐蚀性物质摄入是故意的，因此损伤更严重，死亡更多，并且经常会产生导致永久性残疾的更严重疤痕。
