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钝性胸部食管剥脱术:一种用于腐蚀性物质摄入的紧急手术。

Blunt thorax oesophageal stripping: an emergency procedure for caustic ingestion.

作者信息

Brun J G, Celerier M, Koskas F, Dubost C

出版信息

Br J Surg. 1984 Sep;71(9):698-700. doi: 10.1002/bjs.1800710918.

DOI:10.1002/bjs.1800710918
PMID:6478161
Abstract

We report our experience with an original procedure which we have applied to the management of acute necrotic caustic burns of the upper gastro-intestinal tract. Blunt thorax oesophageal stripping is performed through a cervicotomy and a laparotomy, thus avoiding a wide pleural exposure and the frequent and often fatal respiratory complications of a thoracotomy. The stripping method permitted survival of 13 of 17 patients and is thus considered to be a safer and more successful technique than open thoracic oesophagectomy.

摘要

我们报告了一种原创手术方法的应用经验,该方法用于处理上消化道急性坏死性腐蚀性烧伤。钝性胸段食管剥脱术通过颈部切开术和剖腹术进行,从而避免了广泛的胸膜暴露以及开胸手术常见且往往致命的呼吸并发症。这种剥脱方法使17例患者中的13例得以存活,因此被认为是一种比开放性胸段食管切除术更安全、更成功的技术。

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Blunt thorax oesophageal stripping: an emergency procedure for caustic ingestion.钝性胸部食管剥脱术:一种用于腐蚀性物质摄入的紧急手术。
Br J Surg. 1984 Sep;71(9):698-700. doi: 10.1002/bjs.1800710918.
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Caustic Ingestion in Children: a Systematic Review and Meta-Analysis.儿童腐蚀性物质摄入:一项系统评价与荟萃分析
J Caring Sci. 2016 Sep 1;5(3):251-265. doi: 10.15171/jcs.2016.027. eCollection 2016 Sep.
2
Acute emergency care and airway management of caustic ingestion in adults: single center observational study.成人腐蚀性物质摄入的急性急诊护理与气道管理:单中心观察性研究
Scand J Trauma Resusc Emerg Med. 2016 Apr 11;24:45. doi: 10.1186/s13049-016-0240-5.
3
Perioperative Evaluation of Patient Outcomes after Severe Acid Corrosive Injury.
严重酸性腐蚀性损伤后患者围手术期结局评估
Surg Res Pract. 2015;2015:545262. doi: 10.1155/2015/545262. Epub 2015 Oct 25.
4
Caustic ingestion management: world society of emergency surgery preliminary survey of expert opinion.腐蚀性物质摄入的处理:世界急诊外科学会专家意见初步调查
World J Emerg Surg. 2015 Oct 16;10:48. doi: 10.1186/s13017-015-0043-4. eCollection 2015.
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Corrosive injury of the upper gastrointestinal tract: review of surgical management and outcome in 14 adult cases.上消化道腐蚀性损伤:14例成年病例的外科治疗及结果回顾
Iran J Otorhinolaryngol. 2015 Jan;27(78):15-21.
6
Caustic injury of the upper gastrointestinal tract: a comprehensive review.上消化道腐蚀性损伤:全面综述。
World J Gastroenterol. 2013 Jul 7;19(25):3918-30. doi: 10.3748/wjg.v19.i25.3918.
7
Caustic Injury to the Esophagus.食管腐蚀性损伤
Curr Treat Options Gastroenterol. 2001 Feb;4(1):59-66. doi: 10.1007/s11938-001-0047-x.
8
Emergency management of caustic ingestion in adults.成人腐蚀性物质摄入的急诊处理
Surg Today. 1995;25(2):119-24. doi: 10.1007/BF00311082.
9
[Transmediastinal esophagectomy].
Langenbecks Arch Chir. 1986;367(3):203-13. doi: 10.1007/BF01258939.