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著者提出给腐蚀性食管炎患者进行食管镜检查,在诊断及治疗过程中的观察上起重要作用。食管镜检查一般在食管灼伤后2—7天病情稳定后进行,如有纵隔障炎、胃穿孔、腹膜炎、肺炎、喉水肿、周身中毒等合并症发生,首次食管镜检查可以延期。急性期食管镜检查镜身不能超越溃疡区,这样才能安全地确定灼伤部位、程度及范围。灼伤深度须在灼伤后1—2周第二次食管镜检查时确定。治疗过程中每2—4周复查食管镜一次以观察愈合情况,当发现创面已痊愈或上皮不再继续生长及进一步愈合已经停止时,宜暂停食管镜检查及改变治疗方法。食管镜检查过程中
The authors propose esophagoscopic examination of patients with esophagitis esophagitis, plays an important role in the diagnosis and treatment of the observation process. Esophagoscopy generally 2-7 days after esophageal burn after the disease was stable, if mediastinal inflammation, gastric perforation, peritonitis, pneumonia, laryngeal edema, systemic poisoning and other complications, the first esophageal examination can be postponed. Acute esophagoscopy can not exceed the scope of the mirror body ulcer area, so as to be able to safely determine the location of the burn, extent and scope. The depth of the burn should be determined at the second esophagoscopy 1-2 weeks after the burn. Esophageal mirror should be reviewed once every 2-4 weeks during the course of treatment to observe the healing situation. When the wound has been found to have healed or the epithelium no longer continues to grow and further healing has stopped, esophagoscopy should be suspended and the treatment method should be changed. Esophagoscopy in the process