Feldman M, Iben A B, Hurley E J
Calif Med. 1973 Jan;118(1):6-9.
In 85 consecutive cases of ingestion of caustic material, 70 patients had oral burns, 29 incurred esophageal burns, and in three esophageal stricture developed, requiring repeated dilatation. Management involves early endoscopy to determine the extent of mucosal injury, antibiotics to reduce local or mediastinal infection, and steroids to prevent the chance for esophageal stricture.
在连续85例腐蚀性物质摄入病例中,70例患者有口腔烧伤,29例发生食管烧伤,3例出现食管狭窄,需要反复扩张。治疗包括早期内镜检查以确定黏膜损伤程度、使用抗生素以减少局部或纵隔感染,以及使用类固醇以预防食管狭窄的发生。