食管腐蚀性损伤的治疗：十年经验
Treatment of caustic injuries of the esophagus: a ten year experience.
作者信息
Kirsh M M, Peterson A, Brown J W, Orringer M B, Ritter F, Sloan H
出版信息
Ann Surg. 1978 Nov;188(5):675-8. doi: 10.1097/00000658-197811000-00016.
Abstract
The methods of managing 32 patients sustaining caustic injuries to the esophagus are assessed. Treatment of these patients must be individualized according to the type of caustic ingested, the degree of burn and other clinical signs. While an aggressive approach is favored for second and third-degree burns in the form of early esophago-gastrectomy with subsequent colon interposition, operation is not necessary. In all patients, particularly those with first-degree burns. The use of antibiotics is recommended as soon as the diagnosis of esophageal injury is established. The efficacy of steroids in preventing stricture formation, especially with third-degree burns, is questioned.
摘要
对32例食管腐蚀性损伤患者的处理方法进行了评估。这些患者的治疗必须根据摄入的腐蚀性物质类型、烧伤程度及其他临床症状进行个体化处理。虽然对于二度和三度烧伤，倾向于采取积极的治疗方法，即早期行食管胃切除术并随后进行结肠代食管术，但手术并非必要。在所有患者中，尤其是一度烧伤患者，一旦确诊食管损伤，建议使用抗生素。对于类固醇激素在预防狭窄形成方面的疗效，尤其是三度烧伤患者，存在疑问。
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