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本文报告7例小儿食管化学烧伤后狭窄的外科治疗体会,男6例,女1例,年龄2—6岁。6例误服强碱溶液,1例误服强酸。术前食管钡餐造影示狭窄部位均位于食管中下段,长度5—7cm。6例行胸骨后结肠代食管术,1例行胃造瘘术。术后6例痊愈,1例因术后误吸,长期失语。作者认为小儿食管化学烧伤后狭窄的治疗应以手术为主。横结肠代食管术较其它方法有明显优点。手术应在烧伤后3—6月施行,病变食管应尽可能切除,以防止晚期癌变。文章还对术后并发症的防治进行了讨论
This article reports 7 cases of surgical treatment of pediatric sphincter of surgical treatment of stenosis, 6 males and 1 females, aged 2-6 years. 6 cases of oral administration of alkali solution, 1 case of acidosis. Preoperative esophageal barium meal angiography showed narrow sites are located in the lower esophagus, the length of 5-7cm. 6 cases of sternum after esophageal esophageal surgery, 1 case of gastrostomy. 6 cases recovered, 1 case of postoperative aspiration, long-term aphasia. The authors believe that pediatric esophageal chemical burn stenosis treatment should be based on surgery. Transverse colon esophageal surgery has obvious advantages over other methods. Surgery should be performed 3-6 months after burn, esophageal lesions should be removed as much as possible to prevent advanced cancer. The article also discusses the prevention and treatment of postoperative complications