摘要
目的探讨小儿食道化学性烧伤紧急处理的最佳方法及食道狭窄的防治。方法26例患儿紧急使用酸或碱中和处理,21例行胃造瘘术,采用拉线带动钢球扩张食道;2例采用气囊扩张食道;3例只下胃管而未做其他处理。结果26例中,23例出现程度不同的食道狭窄,平均治疗12个月治愈。结论小儿的化学性烧伤,紧急使用酸或碱中和处理,并及时插胃管、支持治疗。3周后行钡餐透视,根据食道狭窄的程度确定治疗方案,选用胃造瘘钢球扩张食道或气囊扩张食道,治疗是有效的。
Objective To discuss the best method in emergent treatment for chemical esophageal burns in children in order to prevent esophageal stenoses.Mehtods Twenty-six cases of chemical esophageal burns,in the past decade,were reviewed to analyze the outcome of treatment.Results Twenty-one cases were treated by thread-driving steel ball to dilate the stenoses;2were dilated by balloon catheter;3were treated with a stomach-depressing tube.All the sick children were cured with good outcome.Conclusions Emergent treatment for chemical esophageal burns in children included the usage of neutralizer,stomach-depressing tube in time and some supporting therapy.After3weeks,according to the severity of esophageal stenosis with Barium meal,using steel ball or balloon catheter could dilate the stenosed esophagus,obtain satisfactory efficacy.
出处
《临床小儿外科杂志》
CAS
2003年第3期167-169,共3页
Journal of Clinical Pediatric Surgery
