Goldman L P, Weigert J M
Am J Gastroenterol. 1984 Feb;79(2):85-90.
Patients who ingest caustic substances continue to pose difficult problems in diagnosis and management. Flexible endoscopy and radiological studies have helped to delineate the extent of damage caused by corrosives. Management techniques have been directed toward avoiding the development of esophageal strictures. Although a number of nonsurgical techniques are available, i.e., stenting, anticollagen agents, antibiotics, and corticosteroids none has been evaluated in well-controlled studies. In the future efforts should be made to evaluate adequately these management techniques. Public health efforts should be made to educate the public about the dangers of caustic substances so that their threat may be diminished.
摄入腐蚀性物质的患者在诊断和治疗方面仍然存在难题。可弯曲内镜检查和放射学研究有助于明确腐蚀剂造成的损伤程度。治疗技术一直致力于避免食管狭窄的发生。尽管有多种非手术技术可供使用，如支架置入、抗胶原蛋白药物、抗生素和皮质类固醇，但尚无在严格对照研究中对其进行评估的报道。未来应努力对这些治疗技术进行充分评估。应开展公共卫生工作，向公众宣传腐蚀性物质的危害，以降低其威胁。
