南方医科大学学报 ›› 2014, Vol. 34 ›› Issue (04): 582-.

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全食管深度烧伤并贲门胃内金属异物1 例报告

杨炎,肖能坎,谢汉秋,汤钟铭   

  • 出版日期:2014-04-20 发布日期:2014-04-20

Whole esophagus deep burns with a metal foreign body in the stomach: a case report

  • Online:2014-04-20 Published:2014-04-20

摘要: 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。

Abstract: 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.