由于摄入的腐蚀性物质和延迟管理导致食道狭窄:一个病例报告
Arival Yanuar Riswanto1,2, Budi Widodo1,3, Titong Sugihartono1,3
1Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Trauma case reports
|June 10, 2025
概括
摄入腐蚀性物质可以导致严重的食道狭窄,需要长时间的治疗. 这一案例凸显了经常性狭窄的挑战和食道支架的使用,以提高透度.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
背景情况:
- 摄入腐蚀性物质是一个关键的医疗紧急情况.
- 延迟食用腐蚀性物质的治疗可能会导致严重的胃肠道并发症.
研究的目的:
- 描述一个具有挑战性的病例,在摄入腐蚀性物质后出现反复的食道和胆道狭窄.
- 讨论这样复杂的案件的管理策略.
主要方法:
- 一名36岁的男性在摄入腐蚀性物质3个月后出现了症状.
- 最初的治疗包括内镜评估,气球控制的辐射扩张 (CRE) 扩张和Triamcinolone Acetonide注射.
- 由于经常出现的狭窄,最终采用了食道支架.
主要成果:
- 患者经历了显著的体重减轻和腹上疼痛.
- 内镜检查结果显示食道狭窄和胆囊关节狭窄与扎尔加分类IIIA腐蚀性损伤.
- 尽管进行了多次内镜干预,但狭窄性复发,需要食道支架.
结论:
- 食道狭窄是腐蚀性摄入的严重并发症,需要广泛的治疗.
- 经常出现的紧缩带来了重大的管理挑战.
- 消化管支架可以是一个可行的选择,以保持灯光通透性在耐火病例.
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