加强对食管腐蚀伤的认识及伤后瘢痕狭窄的防治  

Strengthening the understandings on corrosive esophageal burn and prevention and management of corrosive esophageal stricture

作　　者：谭群友[1] 王如文[1] 蒋耀光[1] 

机构地区：[1]中国人民解放军第三军医大学大坪医院野战外科研究所胸外科,重庆市400042

出　　处：《世界华人消化杂志》2009年第7期637-641,共5页World Chinese Journal of Digestology

摘　　要：食管腐蚀伤为吞服强酸或强碱等化学腐蚀剂后引起的食管化学性灼伤.灼伤后随着病理过程的不同阶段常有典型的"马鞍形"吞咽困难临床表现.食管腐蚀伤后除早期急救处理外,采用药物、扩张和置管等方法预防食管瘢痕狭窄至关重要.对预防措施失败、已形成严重食管瘢痕狭窄者,可根据情况采用不同的手术治疗方式.本文结合作者的临床实践与国内外文献,就食管腐蚀伤的病因、病理、诊断和伤后食管瘢痕狭窄的预防与治疗作一述评.Caustic esophageal injuries are corrosive burns of esophagus mostly caused by ingestion of chemical caustic substances such as strong acid or alkali. There is often “saddle” dysphagia following three pathologic phases after injury. In addition to early emergency treatment, it is very important to prevent corrosive esophageal stricture by medication, dilation, stenting and so on. Different surgical operations can be selected for those with cicatrix stricture of esophagus. In this paper, we comment on the causes, pathology, diagnosis of caustic esophageal injury and prevention and management of corrosive esophageal stricture.

关 键 词：食管腐蚀伤 诊断 防治 食管瘢痕狭窄 

分 类 号：R655.4[医药卫生—外科学] R655.405[医药卫生—临床医学]