南方医科大学学报
南方醫科大學學報
남방의과대학학보
JOURNAL OF SOUTHERN MEDICAL UNIVERSITY
2014年
4期
582-583
,共2页
杨炎%肖能坎%谢汉秋%汤钟铭
楊炎%肖能坎%謝漢鞦%湯鐘銘
양염%초능감%사한추%탕종명
食管%深度烧伤%内镜检查
食管%深度燒傷%內鏡檢查
식관%심도소상%내경검사
esophagus%deep burn%endoscopy
全食管深度烧伤在上消化道疾病中极其罕见,本文报道1例高度烧伤病人,导致全身多处皮肤、双眼、咽喉、食管等部位烧伤。经内镜诊断急性坏死性食管炎并胃内金属异物。经过烧伤创面清创、镇痛、补液抗休克、抗感染、支持对症等治疗处理,但是患者的病情持续加重。在发生严重的并发症败血症后终于因呼吸、循环衰竭而死亡。
全食管深度燒傷在上消化道疾病中極其罕見,本文報道1例高度燒傷病人,導緻全身多處皮膚、雙眼、嚥喉、食管等部位燒傷。經內鏡診斷急性壞死性食管炎併胃內金屬異物。經過燒傷創麵清創、鎮痛、補液抗休剋、抗感染、支持對癥等治療處理,但是患者的病情持續加重。在髮生嚴重的併髮癥敗血癥後終于因呼吸、循環衰竭而死亡。
전식관심도소상재상소화도질병중겁기한견,본문보도1례고도소상병인,도치전신다처피부、쌍안、인후、식관등부위소상。경내경진단급성배사성식관염병위내금속이물。경과소상창면청창、진통、보액항휴극、항감염、지지대증등치료처리,단시환자적병정지속가중。재발생엄중적병발증패혈증후종우인호흡、순배쇠갈이사망。
Whole esophagus deep burn is an extremely rare upper gastrointestinal tract disease. We report a case of severe burns of involving extensive body skin, eyes, throat, and esophagus. Endoscopic examination revealed acute necrotizing esophagitis and detected a metal foreign body in the stomach. The patient underwent burn wound debridement with analgesia, anti-shock rehydration, anti-infection, and symptomatic treatments, which failed to improve the conditions. The patient died of respiratory and circulatory failure secondary to serious sepsis.