腐蚀性食管炎的诊断与治疗

Tika Hakikah
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摘要

简介腐蚀性食管炎是由于接触酸性或碱性腐蚀性物质而引起的食管炎症。临床症状并不总是与食管损伤程度相关。根据食管镜检查结果判断食管损伤程度对于确定治疗方法和预后非常重要,因为它能准确预测并发症乃至死亡。目的了解腐蚀性食管炎的诊断和治疗。目的:了解腐蚀性食管炎的诊断和治疗:了解腐蚀性食管炎的诊断和治疗。文献综述:腐蚀性食管炎最常见于意外摄入导致的儿童食管炎和自杀导致的成人食管炎。接触的腐蚀性物质可能是酸(硫酸、盐酸)、碱(氢氧化钾、氢氧化钠)和其他物质。食管镜检查是评估食管损伤程度的一项重要检查,怀疑患者摄入了腐蚀性物质。根据食管损伤的程度,可采取观察、药物治疗和手术治疗等方式进行初步处理。结论腐蚀性食管炎发生的原因是摄入腐蚀性物质导致食管灼伤。食管镜检查是评估食管损伤程度的有效诊断方法之一,最佳时间是在摄入腐蚀性物质后的 12-48 小时内进行。摄入腐蚀性物质后的初步处理方法是支持性护理、观察,并根据食道的损伤程度给予药物或手术治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnosis dan Tatalaksana Esofagitis Korosif
Introduction: Corrosive esophagitis is inflammation of the esophagus that occurs due to exposure to acidic or alkaline corrosive substances. Clinical symptoms is not always correlated with the degree of esophagus injury. The degree based on esophagoscopy findings is important in determining management and prognosis as an accurate predictor of complications to death. Objective: To know the diagnosis and management of corrosive esophagitis. Objective: To know the diagnosis and management of corrosive esophagitis. Literature Review: Corrosive esophagitis is most common in children caused by accidental ingestion, and in adults caused by suicide. Exposure to corrosive substances can be acids (sulfuric acid, hydrochloric acid), bases (potassium hydroxide, sodium hydroxide) and other substances. Esophagoscopy is an important examination to assess the degree of esophageal injury suspected of ingesting corrosive substances. Initial management according to the degree of esophageal injury can be in the form of observation, medical and surgical. Conclusion: Corrosive esophagitis occurs due to ingestion of corrosive substances that cause burns in the esophagus. Esophagoscopy is one of the useful diagnostics for assessing the degree of injury to the esophagus with the best time being carried out in the first 12-48 hours after ingestion of corrosive substances. The initial management of ingested corrosive substances is supportive care, observation and administration of medication or surgery according to the degree of injury to the esophagus.
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