Cochran S T, Fonkalsrud E W, Gyepes M T
Arch Surg. 1978 Mar;113(3):308-10. doi: 10.1001/archsurg.1978.01370150080019.
We report on two children who experienced delayed complete obstruction of the gastric antrum following concentrated acid ingestion. Both patients required initial tube gastrostomy and subsequent antrectomy with intestinal reconstruction. Unlike the more common alkaline corrosives, ingested acids tend to spare the esophagus and gastric fundus. While gastric perforation and vascular collapse may occur immediately following overwhelming acid ingestion, the more common course is chronic gastric antral inflammation with subsequent fibrosis and, in some cases, complete stricture. Delayed surgical reconstruction is recommended to permit the acute inflammation and edema to subside.
我们报告了两名儿童，他们在摄入浓酸后出现了胃窦延迟性完全梗阻。两名患者均需要首先进行胃造瘘术，随后进行胃窦切除术并进行肠道重建。与更常见的碱性腐蚀剂不同，摄入的酸往往不会损伤食管和胃底。虽然在大量摄入酸后可能会立即发生胃穿孔和血管虚脱，但更常见的病程是慢性胃窦炎症，随后出现纤维化，在某些情况下会出现完全狭窄。建议延迟进行手术重建，以使急性炎症和水肿消退。
