RESUMEN
A series of patients with esophageal injuries was reviewed to evaluate the role of conservative management of these injuries. Between 1962 and 1978, we treated 108 esophageal injuries. In 74 percent of the cases, the injury was probably iatrogenic. Foreign bodies were the most frequent cause of noniatrogenic esophageal injury. Sixty-eight patients underwent surgery, while the remaining 40 patients received conservative treatment. Of 11 deaths in the series, eight occurred among the surgically treated group. Methods of treatment are discussed, and illustrative cases presented.
Asunto(s)
Esófago/lesiones , Cuerpos Extraños/cirugía , Adulto , Anciano , Medios de Contraste/administración & dosificación , Esofagoscopía/efectos adversos , Esófago/diagnóstico por imagen , Esófago/cirugía , Estudios de Evaluación como Asunto , Femenino , Cuerpos Extraños/complicaciones , Humanos , Enfermedad Iatrogénica/etiología , Enfermedad Iatrogénica/mortalidad , Enfermedad Iatrogénica/cirugía , Pulmón/diagnóstico por imagen , Enfermedades del Mediastino/diagnóstico por imagen , Mediastino/diagnóstico por imagen , Persona de Mediana Edad , Radiografía , Técnicas de SuturaRESUMEN
The paper reports on the case of a 44-year-old patient suffering from toxic optic neuropathy produced by ingestion of a drink brought at second hand. The eye examination revealed the installment of bilateral blindness without the perception of light and with alteration of the general state. After the treatment with 3 perfusions/day with 22 ml ethylic alcohol, 90 degrees, in 250 ml glucosed serum 10%, 200 mg vitamin B1, 500 mg vitamin B6, nicotined xanthnol, vials II for six days, the evolution was good: VOD = 2/3 n.c.; VOS = 1/8 n.c.