灼傷後の急性十二指腸炎および十二指腸潰瘍. 臨床的および病理学的特徴

A J Czaja, J C McAlhany, B A Pruitt

JAMA

|May 22, 1975

まとめ

デュオデナスの病気であるクルリング潰瘍は,重度の火傷を負った患者に影響を及ぼします. 早期の内視鏡検査は,これらの潰瘍の診断と管理に不可欠であり,出血などの合併症につながる可能性があります.

科学分野:

胃腸内科胃腸内科
トラウマ・外科・外科
クリニカル・メディシン臨床医学

背景:

カーリング潰瘍は,重度の火傷を負った患者に観察される特定のタイプの十二指腸潰瘍です.
カーリング潰瘍の病原性と臨床的表情は,特に灼熱の重度と発症のタイミングに関連して,さらなる解明を必要とします.

研究の目的:

カーリング潰瘍の臨床および病理学的特徴を定義する.
灼熱の重度,内視鏡検査結果,および十二指腸疾患の発症との関係を確立するため.

主な方法:

十二指腸の連続内視鏡検査は,火傷を負った37人の患者に実施されました.
灼熱表面積と火傷後の合併症を含む臨床データは,内視鏡検査の結果と相関していた.

主要な成果:

デュオデナル病は27人の患者で観察され,全体表面積の38%を超える焼けを負った患者のみでした.
侵食性十二指腸炎は,負傷後12時間以内に発生し,しばしば急性胃疾患と共に発生した;孤立した十二指腸炎は,炎に関連していた.
粘膜損傷の背景で12人の患者で十二指管の潰瘍が発症し,6人は出血を経験し,典型的には後部潰瘍によるものです.

結論:

早期および連続的な内視鏡検査は,重度の火傷患者のカーリング潰瘍の診断に不可欠です.
灼熱の重度 (>38% TBSA) は,十二指管疾患の発症の重要な要因である.
早期の診断と管理は,出血などの潜在的な合併症のために不可欠です.

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