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上消化道腐蚀性损伤的内镜检查

Endoscopic examination of corrosive injuries of the upper gastrointestinal tract.

作者信息

Welsh J J, Welsh L W

出版信息

Laryngoscope. 1978 Aug;88(8 Pt 1):1300-9. doi: 10.1288/00005537-197808000-00011.

DOI:10.1288/00005537-197808000-00011
PMID:672362
Abstract

The authors present the case histories of five patients who have sustained corrosive injuries of the upper gastrointestinal tract. Flexible endoscopic examination was successfully carried out in each patient to assess the extent of the injury and anticipate further therapeutic needs. Three patients sustained major gastric lesions, i.e., strictures or bleeding following the ingestion of alkali, acids, or phenol, and one instance of esophageal stricture was recognized. The endoscopic observation of antral gangrene was inexorably followed by antral stricture requiring surgical management. One fatality followed rigid esophagoscopic examination which resulted in esophageal perforation.

摘要

作者介绍了5例上消化道腐蚀性损伤患者的病历。对每位患者均成功进行了软性内镜检查,以评估损伤程度并预测进一步的治疗需求。3例患者出现严重胃部病变,即摄入碱、酸或苯酚后出现狭窄或出血,还发现1例食管狭窄。内镜观察到胃窦坏疽后不可避免地出现了需要手术治疗的胃窦狭窄。1例患者在硬式食管镜检查后因食管穿孔死亡。

相似文献

1
Endoscopic examination of corrosive injuries of the upper gastrointestinal tract.上消化道腐蚀性损伤的内镜检查
Laryngoscope. 1978 Aug;88(8 Pt 1):1300-9. doi: 10.1288/00005537-197808000-00011.
2
Caustic ingestion.腐蚀性物质摄入。
J La State Med Soc. 2000 Dec;152(12):590-6.
3
Ingestion of lye and other corrosive agents--a study of 86 infant and child cases.吞食碱液及其他腐蚀性制剂——86例婴幼儿病例研究
J Otolaryngol. 1980 Feb;9(1):72-7.
4
Ingestion of corrosive substances by adults.成人摄入腐蚀性物质。
Am J Gastroenterol. 1992 Jan;87(1):1-5.
5
[Diagnostic and therapeutic management of digestive caustic burns].[消化性腐蚀性烧伤的诊断与治疗管理]
J Chir (Paris). 2002 Apr;139(2):72-6.
6
[Emergency surgical management of lesions from ingestion of caustics. Role of primary endoscopic classification].[腐蚀性物质摄入所致病变的急诊手术处理。原发性内镜分类的作用]
Chir Ital. 1998;50(5-6):41-6.
7
Corrosive oesophagitis in children following ingestion of sodium hydroxide granules--a case report.
Int J Pediatr Otorhinolaryngol. 2005 Sep;69(9):1257-60. doi: 10.1016/j.ijporl.2005.03.010. Epub 2005 Apr 18.
8
Corrosive injury to the upper gastrointestinal tract.上消化道腐蚀性损伤
Indian J Gastroenterol. 1993 Oct;12(4):135-41.
9
Management of injuries from liquid lye ingestion.液态碱摄入所致损伤的处理
J Trauma. 1988 Aug;28(8):1173-80. doi: 10.1097/00005373-198808000-00007.
10
Predictability of esophageal injury from signs and symptoms: a study of caustic ingestion in 378 children.根据体征和症状预测食管损伤:对378名儿童腐蚀性物质摄入情况的研究
Pediatrics. 1983 May;71(5):767-70.

引用本文的文献

1
Management of severe caustic stenosis of the hypopharynx and esophagus by ileocolic transposition via suprahyoid or transepiglottic approach. Analysis of 18 cases.经舌骨上或经会厌途径行回结肠转位术治疗下咽和食管重度腐蚀性狭窄:18例分析
Ann Surg. 1988 Apr;207(4):439-45. doi: 10.1097/00000658-198804000-00012.
2
Subepithelial hemorrhages and erosions of human stomach.人胃黏膜下出血和糜烂
Dig Dis Sci. 1988 Apr;33(4):490-503. doi: 10.1007/BF01536037.