Ingesta de cáusticos en niños, experiencia de 3 años
Copyright policy )Ingesta de cáusticos en niños, experiencia de 3 años
Introdución: La ingesta accidental de cáusticos en pediatría no dispone de un consenso claro de actuación. El objetivo de este estudio fue caracterizar la población pediátrica atendida por ingesta de cáusticos en un centro asistencial. Pacientes y método: Estudio descriptivo de los pacientes atendidos en nuestro hospital por la ingesta de cáusticos durante el período 2008-2011. Resultados: Se atendieron 12 pacientes, edad media de 3,8 años (1-13 años). Predominio de varones (58,8%). Un 58,3% ingirió producto alcalino y un 41,6% ácido. El 58,3% no refería sintomatología, el resto refirió vómitos (33,3%), odinofagia (16,6%), hematemesis (8,3%), sialorrea (8,3%) y dificultad respiratoria (8,3%). El 75% presentaron lesiones en la cavidad oral. Todos, salvo un caso, fueron accidentales. Se realizó endoscopia al 100% entre las 12 y 24 h postingesta con hallazgos patológicos en un 41,6%. En el grupo ingesta de álcalis 2 pacientes presentaron lesiones (16,6%): una esofagitis grado 2B y una grado 3. En el grupo ingesta de ácidos 4 pacientes (33,3%) presentaron lesiones: una esofagitis aguda grado 1-2A, 2 gastritis agudas no erosivas y una gastritis aguda hemorrágica. Se realizó endoscopia de control según los hallazgos endoscópicos previos. Solo 2 presentaron complicaciones posteriores. Conclusiones: Destacamos la valoración endoscópica en las primeras 24 h en todas las ingestas sintomáticas y deliberadas, así como la reevaluación estrecha en las ingestas ácidas, por asociar lesiones diferidas.
Alkali, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Follow-Up Studies, Medical Subject Headings::Diseases::Respiratory Tract Diseases::Respiration Disorders::Dyspnea, Medical Subject Headings::Disciplines and Occupations::Health Occupations::Medicine::Pediatrics, Medical Subject Headings::Anatomy::Body Regions::Head::Face::Mouth, Medical Subject Headings::Diseases::Digestive System Diseases::Gastrointestinal Diseases::Gastrointestinal Hemorrhage::Hematemesis, Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans, Estenosis esofágica y gástrica, Caustic Ingestion, Acid, Oesophageal and gastric stenosis, Pediatrics, Perinatology, and Child Health, Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Nutrition Processes::Digestion::Salivation, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Surgical::Endoscopy, Medical Subject Headings::Named Groups::Persons::Age Groups::Child, Medical Subject Headings::Diseases::Digestive System Diseases::Gastrointestinal Diseases::Gastrointestinal Hemorrhage, Medical Subject Headings::Diseases::Digestive System Diseases::Gastrointestinal Diseases::Esophageal Diseases::Esophagitis, Medical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Signs and Symptoms, Digestive::Vomiting, Ingesta cáustica, Medical Subject Headings::Diseases::Digestive System Diseases::Gastrointestinal Diseases::Gastroenteritis::Gastritis, Medical Subject Headings::Chemicals and Drugs::Chemical Actions and Uses::Specialty Uses of Chemicals::Caustics, Medical Subject Headings::Check Tags::Male, Álcalis, Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Psychology, Social::Group Processes::Consensus, Ácido, Medical Subject Headings::Chemicals and Drugs::Inorganic Chemicals::Alkalies
Alkali, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Follow-Up Studies, Medical Subject Headings::Diseases::Respiratory Tract Diseases::Respiration Disorders::Dyspnea, Medical Subject Headings::Disciplines and Occupations::Health Occupations::Medicine::Pediatrics, Medical Subject Headings::Anatomy::Body Regions::Head::Face::Mouth, Medical Subject Headings::Diseases::Digestive System Diseases::Gastrointestinal Diseases::Gastrointestinal Hemorrhage::Hematemesis, Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans, Estenosis esofágica y gástrica, Caustic Ingestion, Acid, Oesophageal and gastric stenosis, Pediatrics, Perinatology, and Child Health, Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Nutrition Processes::Digestion::Salivation, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Surgical::Endoscopy, Medical Subject Headings::Named Groups::Persons::Age Groups::Child, Medical Subject Headings::Diseases::Digestive System Diseases::Gastrointestinal Diseases::Gastrointestinal Hemorrhage, Medical Subject Headings::Diseases::Digestive System Diseases::Gastrointestinal Diseases::Esophageal Diseases::Esophagitis, Medical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Signs and Symptoms, Digestive::Vomiting, Ingesta cáustica, Medical Subject Headings::Diseases::Digestive System Diseases::Gastrointestinal Diseases::Gastroenteritis::Gastritis, Medical Subject Headings::Chemicals and Drugs::Chemical Actions and Uses::Specialty Uses of Chemicals::Caustics, Medical Subject Headings::Check Tags::Male, Álcalis, Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Psychology, Social::Group Processes::Consensus, Ácido, Medical Subject Headings::Chemicals and Drugs::Inorganic Chemicals::Alkalies
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