Burns of a digestive tract

Description:

Burns of a digestive tract acids and shchelo-us are heavy pathology what the high lethality (10–20%) testifies to.

Symptoms of Burns of a digestive tract:

In the clinical course of burns allocate three periods: acute, oligosymptomatic (recovery) and period of outcomes.

The acute period, as a rule, within 10 days is shown by the expressed pain syndrome, a dysphagy, the toxaemia raised by temperature, disorders of functions of internals.

The oligosymptomatic (recovery) period comes after elimination of an acute pain syndrome and reduction of dysphagic frustration by the end of the 2-3rd week from the moment of a burn. But it is the period of imaginary recovery.

The period of outcomes is characterized by development of resistant effects of a burn and poisoning in the form of cicatricial esophageal stenoses, postnecrotic cirrhosis, a chronic esophagitis, a mediastinitis, chronic pneumonia, an aggravation of tubercular process, permanent functional disorders of internals.

Household burns of a throat and gullet various chemicals meet quite often. Poisonings with acids and alkalis happen both at children, and at adults. Patients need emergency medical service and the corresponding treatment.

Reasons of Burns of a digestive tract:

As a result of intake of caustic substances not only the gullet and a stomach are surprised, but also function and structure of a liver, kidneys, adrenal glands and other bodies owing to neurotrophic frustration and intoxication at the expense of a resorption of poison, absorption of decomposition products of fabrics, accessions of a purulent infection are broken.

Treatment of Burns of a digestive tract:

For this purpose during the first hours after poisoning the stomach is plentifully washed out warm water (5–8 l). At poisoning with acids (acetic, salt, sulfuric, etc.) it is possible to apply 2% to neutralization - ny solution of usual baking soda, burned magnesia. At poisoning with alkalis (caustic natron, the caustic soda) – solution of the vinegar divorced half water, 1% - ny solution of citric acid.

Within several days (3-4) it is necessary to appoint narcotic drugs. At disturbance of cordial activity enter caffeine, Cordiaminum.

It is not recommended to cause an emetic reflex and if it appears, it needs to be suppressed. Put a bubble with ice on area of a stomach.

Medical events are held taking into account weight of poisoning and the general condition of the patient.

For fight against dehydration of an organism and for preservation of proteinaceous balance intravenously enter 5% - ny solution of glucose on isotonic NaCl solution (2–3 l), Polyglucinum, blood, plasma, blood substitutes. To the patient appoint a full-fledged diet, vitamin-rich. Recommend butter, fish oil, milk, cream, crude eggs, olive oil.

To prevent development of consecutive infection in oral cavities, throats and a gullet, appoint high doses of antibiotics. Care of an oral cavity and a throat for what at poisonings with acids appoint alkaline rinsings is necessary, at poisonings with alkalis – 2% - ny solution of boric acid.

After the general phenomena of intoxication pass, and acute inflammatory process abates, continue further treatment. In more mild cases of burns it is reasonable to begin bougieurage of a gullet or drainage of its gleam with tubes on the 4-6th, in heavy – on 8 – the 10th day.