[Diffuse sympathetic block in the intensive therapy of pharyngeal and esophageal chemical burns]

The course of inflammation was followed up during combined treatment of 50 patients with pharyngeal and esophageal chemical burns. The treatment scheme included sympathetic block comprising subpleural and stallate ganglion blocks. Compared to controls, the test subjects showed more rapid control of inflammation proved by a positive clinical pattern, reduction of local processes, absence of intoxication. Thermometry and thermography in the block zone evidenced improved microcirculation, probably, due to vegetative responses. The latter are suggested to be the mechanism of the block action which reestablished normal trophism of the affected tissue. Enteral feeding initiated early after pain relief promoted repair processes leading to stable levels of total protein, electrolytes, blood sugar. The above measures make it possible to initiate early bouginage the performance of which becomes painless with good outcomes (no esophageal stenosis, earlier discharge from hospital).