| 穆文利.食物烫伤致食管全段巨大血肿 1例[J].安徽医药,2021,25(4):748-750. |
| 食物烫伤致食管全段巨大血肿 1例 |
| A case of a large esophageal hematoma caused by food scald |
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| DOI：10.3969/j.issn.1009-6469.2021.04.028 |
| 中文关键词: 食管疾病 血肿 烫伤 胃镜检查 |
| 英文关键词: Esophageal diseases Hematoma scald Gastroscopy |
| 基金项目: |
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| 中文摘要: |
| 目的分析 1例因食物烫伤致食管全段巨大血肿病例，为临床提供参考。方法分析解放军陆军第八十一集团军医院消化内科 2019年 7月 10日急诊收治的一位因食物烫伤导致食管全段巨大血肿病人病情演变、诊断治疗经过及相关文献复习。结果经过电子胃镜及影像学检查综合分析诊断为食管血肿，经消化内科保守治疗病人痊愈出院。结论食物烫伤导致食管全段巨大血肿临床罕见，胃镜下组织损害可达烫伤 Ⅱ度，经过内科保守治疗预后良好。发病初期需结合多种检查手段确诊，病情允许应尽早胃镜检查以明确病因，但需谨慎操作。 |
| 英文摘要: |
| Objective To analyze a case oflarge esophageal hematoma caused by food scald toprovide a reference for clinical.Methods Analysis of the evolution of the condition, diagnosis and treatment of a patient with a huge hematoma of the entire esophagus caused byfood scald in the Department of Gastroenterology, the 81st Group Military Hospital of the Chinese People's Liberation Army on July 10,2019, and review of related literature.Results After comprehensive analysis of the electronic gastroscope and imaging examination, thepatient was diagnosed as esophageal hematoma, treated conservatively in the Department of Gastroenterology and cured.Conclusion Food scald causes a large hematoma of the esophagus. It is rare in clinical practice. The tissue damage can reach Ⅱ degrees of scald. Theprognosis of conservative medical treatment is good. In the early stage of the disease, multiple examinations should be used to confirm thediagnosis. Gastroscopy to clarify the cause as soon as possible if the condition allowed, but should be used with caution. |
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