过氧乙酸致小儿消化道烧伤的临床特点

Peroxyacetic acid burn of digestive tract in children

目的 探讨过氧乙酸致小儿消化道烧伤的临床特点与治疗。方法 比较分析近期治疗的过氧乙酸造成小儿消化道烧伤的 7例患儿 (男 6例 ,女 1例 ,年龄 3～ 13岁 )的临床资料及近 10年误服强酸造成消化道烧伤的 7例患儿的临床资料 ,包括烧伤部位、处理方法、手术术式和随访结果。结果 7例误服过氧乙酸的患儿除对食管造成烧伤外 ,主要损伤胃部 (6 / 7) ,根据不同的烧伤情况决定术式 :包括早期留置胃管 ,晚期行胃十二指肠吻合术 ;胃造瘘、食管钢球扩张术等。 7例误服过氧乙酸患儿均得到随访 6～ 9个月。结论 过氧乙酸除对食管造成烧伤外 ,主要损伤胃部。过氧乙酸对消化道烧伤的治疗 ,早期处理和留置胃管十分重要。

Objective To study the clinical features and treatments of digestive tract burns by peroxyacetic acid in children.Methods We reviewed the clinical features of 7 children (M∶F=6∶l,age range 3 to 13 years) who suffered from alimentary tract burns after ingesting peroxyacetic acid.Results Peroxyacetic acid lead to chemical burn of gastric antrum (6/7)in addition to esophageal burn. The surgical intervention consisted of insertion of nasogastric tube initially and gastrodudenostomy or gastrectomy with esophageal dilation later on. All cases were followed up for 6～9 months. All patients are capable of taking semi-fluid food currently.Conclusions Peroxyacetic acid causes chemical burn to gastric antrum in addition to esophagus. Immediate treatment and insertion of nasogastric tube are recommended.