人体腐蚀性酸摄入——一项临床与内镜研究
Corrosive acid ingestion in man - a clinical and endoscopic study.
作者信息
Dilawari J B, Singh S, Rao P N, Anand B S
出版信息
Gut. 1984 Feb;25(2):183-7. doi: 10.1136/gut.25.2.183.
Abstract
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.
摘要
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。
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本文引用的文献
1
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Pediatrics. 1964 Aug;34:236-45.
2
STENOSIS OF THE GASTRIC ANTRUM AND PROXIMAL DUODENUM RESULTING FROM THE INGESTION OF A CORROSIVE AGENT.腐蚀性物质摄入导致的胃窦和十二指肠近端狭窄
Am J Surg. 1964 Apr;107:580-5. doi: 10.1016/0002-9610(64)90324-1.
3
An evaluation of early esophagoscopy and corticosteroid therapy in the management of corrosive injury of the esophagus.早期食管镜检查及皮质类固醇治疗在食管腐蚀性损伤处理中的评估
J Pediatr. 1961 Sep;59:356-60. doi: 10.1016/s0022-3476(61)80289-8.
4
Cortisone therapy of lye burns of the esophagus.食管碱烧伤的可的松治疗
J Pediatr. 1956 Oct;49(4):394-7. doi: 10.1016/s0022-3476(56)80223-0.
5
Prevention of experimental esophageal stricture by cortisone. II. Control of suppurative complications by penicillin.可的松预防实验性食管狭窄。II. 青霉素对化脓性并发症的控制
AMA Arch Surg. 1953 May;66(5):593-8. doi: 10.1001/archsurg.1953.01260030610007.
6
Effects of cortisone on experimental lye burn of the esophagus.可的松对实验性食管碱烧伤的影响。
Ann Otol Rhinol Laryngol. 1952 Sep;61(3):681-91. doi: 10.1177/000348945206100309.
7
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8
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9
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10
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Surg Clin North Am. 1968 Dec;48(6):1303-11. doi: 10.1016/s0039-6109(16)38691-1.
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