Müller H
HNO. 1977 May;25(5):168-71.
Corrosive burns of the esophagus are still relatively frequently encountered by the clinician. In cases of mild or moderately severe burns, accepted management involves the use of corticosteroids and antibiotics. However, controversy exists in such therapy for the severe burns. The present author's experience with these injuries over a 16 year period indicates that both steroids and antibiotics are necessary in all patients and that esophageal strictures can be prevented with corticosteroids without any side effects from the drug.
临床医生仍相对频繁地遇到食管腐蚀性烧伤病例。对于轻度或中度严重烧伤病例,公认的治疗方法包括使用皮质类固醇和抗生素。然而,对于严重烧伤的此类治疗存在争议。作者在16年期间处理这些损伤的经验表明,所有患者都需要使用类固醇和抗生素,并且使用皮质类固醇可以预防食管狭窄,且该药物没有任何副作用。