[Ingestion of caustics by children. Report of 23 deep lesions. Therapeutic attitude and long-term results].

J P Marie, D Dehesdin, E De Sevin, J Andrieu-Guitrancourt
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Abstract

In children, 23 caustic injuries of oesophagus with deep lesions (second or third degree of burn) were treated in pediatric ENT department (Pr ANDRIEU--Rouen) during a 19 years long period. Endoscopy in emergency, nasogastric tube for stent and repeated dilatations were the bases of the treatment. 14 second degree burns and 7 third degree burns were complicated of 9 stenosis and one death. The mean duration of total treatment was 43 months. The mean number of dilatations was 38 months. 4 stenosis were definitely cured. 8 children had normal feeding. Mean following was 8 years with good long term results.

儿童误食苛性碱。报告23例深部病变。治疗态度和长期结果]。
在儿童耳鼻喉科(Pr ANDRIEU—Rouen), 19年期间治疗了23例伴有深部病变(二度或三度烧伤)的儿童食管腐蚀性损伤。急诊内镜、鼻胃管支架、反复扩张是治疗的基础。2度烧伤14例,3度烧伤7例,并发狭窄9例,死亡1例。总治疗时间平均为43个月。平均扩张次数为38个月。4例狭窄完全治愈。8例患儿喂养正常。平均随访时间为8年,长期效果良好。
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