摘要
目的:探讨自发性食管破裂(Boerhaave's综合征)的诊断和治疗。方法:对我院自1999年建院以来收治的9例Boerhaave's综合征作回顾性研究,并结合文献复习。结果:6例根据临床资料诊断,3例经手术探查确诊。3例保守治疗,2例治愈,1例死亡;3例于发病后24h内手术修补,其中2例好转治愈,1例死于再破裂;另3例于发病2～30d手术,均治愈。结论:高度警惕本病并迅速获得全面、准确的病史是避免误诊、漏诊的关键。诊断主要根据胸片、食管造影及特征性的胸腔引流物,充分引流和手术修补是有效而可靠的治疗方法。
Objective: To discuss the diagnosis and treatment of spontaneous esophageal rupture (Boerhaave's syndrome). Methods: Seven patients admitted in our hospital ever since 1999 were investigated retrospectively. Results: six patients were diagnosed clinically, and 3 were diagnosed intraoperatively. Three patients were treated conservatively, with two survivals and one death. Three underwent primary repair within 24 hours of onset, with satisfactory results in 2, and one death from rupture. Three cases received operation 2～30 days after onset and all survived. Conclusions: A rapid but complete and accurate grasp of history, remaining high alert on the disease is the key to avoid misdiagnosis. The diagnosis can be confirmed or excluded by a chest film, a contrast study of the esophagus or characteristic contents in thoracic fluid. Sufficient drainage and esophageal repair are effective and reliable for therapy.
出处
《广州医学院学报》
2004年第2期53-54,共2页
Academic Journal of Guangzhou Medical College
关键词
自发性食管破裂
spontaneous esophageal rupture
