Avtor/Urednik		Roškar, Z; Meglič, D; Miksič, M; Pogorevc, R
Naslov		Zaužitve jedkovin pri otrocih
Prevedeni naslov		Caustic ingestion in children
Tip		članek
Vir		In: Gregorič A, editor. Otrok s hipertenzijo, zastrupitve pri otrocih, prvi stik s hudo bolnim ali poškodovanim otrokom. Zbornik 14. srečanje pediatrov v Mariboru z mednarodno udeležbo in 1. srečanje medicinskih sester; 2004 apr 16-17; Maribor. Maribor: Splošna bolnišnica Maribor,
Leto izdaje		2004
Obseg		str. 65-8
Jezik		slo
Abstrakt		Caustic ingestion in children is uncommon. Caustic agents include acids, alkalis and their salts. There has been a noticeable decrease in caustic ingestion in the developed world, especially because strong caustic agents have been taken off the market. There is no registered data on caustic ingestion in Slovenia. In the last 6 years 5 children have been treated in our department because of caustic ingestion. Caustic ingestion in children usually occurs accidentally, more rarely intentionally as attempted suicide. Acids produce tissue damage by coagulation necrosis, alkalis produce a liquefaction necrosis that can penetrate deeply into tissues. Caustic ingestion may cause immediate pain, vomiting, drooling, oral burns, stridor, dysphagia and dyspnoea. Oesophageal injury may occur even in the absence of oral burns. Acute complications include upper airway obstruction, shock, gastrointestinal haemorrhage and intestinal perforation. Oesophageal stricture and pyloric stenosis are the most frequent late sequelae. Gastric lavage and inducement of vomiting are contraindicated. Endoscopy is necessary in symptomatic cases to assess the extent of the injury. Treatment is supportive. Data on the success of treatment with steroids is conflicting. Surgical treatment is indicated in gut perforation and late sequelae, such as strictures and fistulas.
Deskriptorji		POISONING CAUSTICS BURNS, CHEMICAL MOUTH DISEASES ESOPHAGEAL DISEASES CHILD