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首页> 外文期刊>Journal of paediatrics and child health >Caustic ingestion and oesophageal damage in children: Clinical spectrum and feeding practices.
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Caustic ingestion and oesophageal damage in children: Clinical spectrum and feeding practices.

机译:儿童的苛性摄入和食道损害:临床范围和喂养方法。

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摘要

AIM: The study aims to evaluate the association of oesophageal damage with clinical data and feeding practices in children who suffered a caustic substance ingestion (CSI). METHODS: Cross-sectional design was used in this study. The setting was at a paediatric referral hospital in 2006. Ninety-four children with CSI were used as study samples, with mean age of 38.4 months, and 37.2% were females. The independent variable was oesophageal damage; the dependent variables were clinical data and feeding practices. RESULTS: Main symptoms included salivation, oropharyngeal burns and vomiting. On endoscopy, 84.6% had second- or third-degree burns. Oesophageal stricture occurred in 48.9%. Severe burns were associated with oesophageal stricture and ingestion of alkaline products; dysphagia was associated with oesophageal stricture. In about one fourth of the cases, a nutritional intervention with complete and balanced liquid diets was required to maintain the adequate daily recommended intake (DRI). CONCLUSIONS: Alkali ingestion was associated with severe burns and oesophageal stricture. The presence of oesophageal strictures and dysphagia required changes in the feeding practices in order to maintain an adequate nutritional status and/or to complete their DRI.
机译:目的:该研究旨在评估患有腐蚀性物质摄入(CSI)的儿童的食道损害与临床数据和喂养方法之间的关系。方法:本研究采用横断面设计。该场所于2006年在儿科转诊医院就诊。将94例CSI患儿作为研究样本,平均年龄为38.4个月,女性为37.2%。自变量是食道损害。因变量是临床数据和喂养方法。结果:主要症状包括流涎,口咽灼伤和呕吐。在内窥镜检查中,有84.6%的人患有二级或三级烧伤。食管狭窄发生率为48.9%。严重烧伤与食道狭窄和碱性产物的摄入有关;吞咽困难与食道狭窄有关。在大约四分之一的病例中,需要采取营养干预措施,采用完全均衡的流质饮食,以维持足够的每日推荐摄入量(DRI)。结论:摄入碱与严重烧伤和食道狭窄有关。食道狭窄和吞咽困难的存在需要改变喂养方法,以维持适当的营养状况和/或完成其DRI。

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