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咽喉及食管腐蚀性灼伤的手术治疗

Surgical treatment for caustic ingestion injury of the pharynx, larynx, and esophagus.

作者信息

Ochi K, Ohashi T, Sato S, Watarai J, Maeda C, Takeyama I

机构信息

Department of Otorhinolaryngology, St. Marianna University School of Medicine, Kawasaki, Japan.

出版信息

Acta Otolaryngol Suppl. 1996;522:116-9.

PMID:8740824
Abstract

A 45-year-old female drank Sunpole (9.5% hydrochloric acid), an acidic toilet cleaner, in a suicide attempt. Notwithstanding intravenous administration of steroids and bougienage dilation, corrosive changes progressed. The patient underwent surgery for severe caustic ingestion injury of the pharynx, larynx, and esophagus. Colon bypass surgery from the left vallecula to the stomach was performed. Excellent results, both in deglutition and phonation, were obtained. We report on the case and stress several points of importance in dealing with severe caustic ingestion injuries.

摘要

一名45岁女性为自杀企图饮用了酸性马桶清洁剂“Sunpole”(含9.5%盐酸)。尽管进行了静脉注射类固醇和探条扩张术,但腐蚀性病变仍在进展。该患者因咽喉和食管严重腐蚀性摄入损伤接受了手术。实施了从左梨状窝到胃的结肠旁路手术。在吞咽和发声方面均取得了极佳效果。我们报告该病例,并强调处理严重腐蚀性摄入损伤时几个重要要点。

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