title: [Severe tracheobronchial complications of the ingestion of caustics in adults. A case of perforation healed with a pulmonary patch].
abstract: Since 1969, in a study of 100 patients hospitalized for severe caustic ingestion meeding intensive surgery, the authors have found 9 cases of critical tracheo-bronchic burns characterized by necrotic lesions. Those lesions constitute a severe complication (6 deaths amongst 9 patients) thus the obsolute necessity of precocius and repeated tracheobronchic fiber endoscopies. In case of an ulcerating or pre-splitting aspect appearing in localised necrotic lesions, the authors preconise in emergency a tracheobronchic plasty using a lung patch. Other treatments are discussed.
mesh_terms: D000328:Adult; D000368:Aged; D001982:Bronchial Diseases / Q000209:etiology* / Q000601:surgery; D002057:Burns, Chemical / Q000150:complications* / Q000628:therapy; D002424:Caustics / Q000009:adverse effects*; D003422:Critical Care; D004940:Esophageal Stenosis / Q000139:chemically induced; D005260:Female; D006801:Humans; D016040:Lung Transplantation; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D012422:Rupture, Spontaneous; D014132:Trachea / Q000473:pathology*
chemical_list: D002424:Caustics
vernacular_title: Complications trachéo-bronchiques graves des ingestions de caustiques chez l'adulte. Un cas de perforation guéri par patch pulmonaire.