Dilawari J B, Singh S, Rao P N, Anand B S
Gut. 1984 Feb;25(2):183-7. doi: 10.1136/gut.25.2.183.
Sixteen patients with corrosive acid ingestion were studied. The majority of patients (n = 10) had ingested sulphuric acid, and three other patients had ingested hydrochloric acid. The extent and severity of upper gastrointestinal tract injury was determined by fibreoptic endoscopy and necropsy. All the patients had oesophageal and gastric involvement but the duodenum was spared in the majority. The injury was not considered as mild (grade I) in any of these patients; five patients having moderate (grade II) and 10 patients having severe (grade III) injury. Complications and mortality occurred only in patients with grade III injury. Feeding jejunostomy for nutritional support was used in five patients (all grade III) with good results.
对16例腐蚀性酸摄入患者进行了研究。大多数患者（n = 10）摄入了硫酸，另外3例患者摄入了盐酸。通过纤维内镜检查和尸检确定上消化道损伤的范围和严重程度。所有患者均有食管和胃受累，但大多数患者十二指肠未受累。这些患者中没有一例损伤被认为是轻度（I级）；5例患者为中度（II级）损伤，10例患者为重度（III级）损伤。并发症和死亡仅发生在III级损伤患者中。5例（均为III级）患者采用空肠造口术进行营养支持，效果良好。
