论文部分内容阅读
作者报告了3例由于口服药物引起的食管炎,年龄分别为72、59、65岁,2例男性,1例女性。2例由于长期使用奎尼宁片剂引起的,另一例是用10%氯化钾溶液经鼻胃插管或拨管后口服法造成的。临床症状主要为胸部不适,疼痛及进行性吞咽困难。X 线食管造影片所见:例1于下颈段食管呈现局限光滑良性狭窄,范围约3厘米;例2于上胸段食管呈现6厘米长不规则的管腔狭窄并有几个小的充盈缺损,X 线和食管镜所见,起初均诊断为癌,但是,几次活检表现为炎症改变,无恶性肿瘤的证据;例3于下段食管表现为6—7厘米长管腔明显狭窄,痉挛和溃疡。停药后和食管扩张时临床症状改善和消失。口服药物所引起的食管炎并非常见,然而,它是一种严重的有时是致命的并发症。
The authors reported three cases of esophagitis due to oral medications, ages 72, 59, and 65 years, 2 men, and 1 woman. Two cases were caused by the long-term use of quinine-nife tablets, and the other was caused by oral administration of 10% potassium chloride solution through the nasogastric intubation or dialing. The main clinical symptoms are chest discomfort, pain, and progressive dysphagia. X-ray findings of esophageal radiography: Case 1 shows a narrow, smooth, benign stenosis in the lower cervical esophagus with a range of approximately 3 cm; Example 2 presents an irregular luminal narrowing of 6 cm in the upper thoracic esophagus with several small fillings. Defects, X-ray findings and esophagoscopy were initially diagnosed as cancer. However, several biopsies showed evidence of inflammation and no evidence of malignancy. Example 3 showed a narrow lumen of 6-7 cm in the lower esophagus. And ulcers. Clinical symptoms improved and disappeared after drug withdrawal and when the esophagus expanded. Esophagitis caused by oral medication is not common, however, it is a serious and sometimes fatal complication.