全食管深度烧伤并贲门胃内金属异物1例报告

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

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。

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 necrofizing esophagitis and detected a metal foreign body in the stomach. The patient underwent bum wound debridement with analgesia, anti-shock rehydration, anti-infection, and symptomatic treatments, which failed to improve the conditions. The oatient died of respiratory and circulatory failure secondary to serious seosis.