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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 4(1); 1961 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1961;4(1): 13-6.
The Histopathological Studies on the Lung in the Experimental Corrosive Esophagitis due to Acetic Acid
Kohn Sik Min, MD (Director : Prof. Hong Ki Kim, MD)
Department of E.N.T., S.N.U., Korea
醋酸에 依한 食道腐蝕症에 있어서 肺臟의 病理組織學的 硏究
閔建植 (指導 : 金弘基 副敎授)
第五陸軍病院 耳鼻咽喉科
ABSTRACT

Even though the incidence of corrosive esophagitis has been decreasing in the last decade, there are still a significant number of cases of suicidal ingestion of lye and acids in the adult and accidental ingestion in children in Korea. The purpose of this experiment is to study the histopathological changes in the lung which occur in the corrosive esophagitis experimentally produced by acetic acid. The esophagus of averaging two Kg. weighted rebbits were ingested with 3.0 cc of a 3.0% of acetic acid by the pipet through the esophagoscope, and the following macroscopic findings were observed. 1) Pulmonary congestion, bleeding thrombosis and edema are the initial findings which progress in intensity to the 3rd day. At this time bronchopneumonia set in. 2) At about I week they are followed with emphysematous changes in the lung which persist relatively for a long time. 3) At the end of the 5th week it shows relatively normal lung structure. From the above observations we can suggest a great amount of acid is absorbed directly into the blood stream and thus produces parenchymal damage in the lung which terminates in pneumonia. Further it can be stated that the symptoms which persist for a considerable length of time, are due to reabsorption of necrotic products from the stomach and intestine.

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