摘要
目的探讨食管破裂的临床诊断及治疗方法。方法选择我院收治的14例食管破裂患者,7例自发性食管破裂,6例异物致食管破裂,1例医源性食管破裂,对所有患者的诊疗过程进行回顾性分析。结果全部患者均治愈,住院时间为21～48 d,其中7例自发性食管破裂的患者中,6例食管裂口在2～4 cm,采取一期缝合后治愈出院,1例食管裂口纵径在8 cm以上及黏膜裂口在10 cm以上,在采取一期手术结扎及二期手术重建食管后治愈出院。6例食管异物致破裂采取保守治疗后均治愈出院,1例医源性食管破裂采取一期缝合手术后治愈出院。结论尽早针对食管破裂患者的病因进行分析,并进行食管造影及影像学检查,尽快采取手术治疗或保守治疗措施,能改善患者的预后。
Objective To explore the clinical diagnosis and treatment of esophageal rupture. Methods Selected 14 case patients with esophageal rupture in our hospital, therer 7 cases were spontaneous rapture of esophagus, 6 cases were foreign bodies caused by esophageal rupture, 1 cases was latrogenic esophageal rupture, retrospectively analyzed the process of all patients with diagnosis and treatment. Results All patients were cured, length of hospital stay for 21 to 48 day, among them 7 cases of patients with spontaneous esophageal rupture, 6 patients with esophageal rupture in 2 to 4 cm to take a period after suture cured and discharged, 1 case of esophageal rupture in longitudinal diameter more than 8 cm and mucous membrane rupture in patients with more than 10 cm, in the issue of surgical ligation and second stage surgery hospital cure after reconstruction of esophagus. Ruptured esophageal foreign body to take after conservative treatment of 6 cases were cured and discharged, 1 case of patients with iatrogenic esophageal rupture to issue suture to cure the hospital after the operation. Conclusion Aiming at analysis the causes of patients with esophageal rupture, as soon as possible and esophageal imaging and imaging examination, surgery or conservative treatment measures as soon as possible, can significantly improve the prognosis of patients.
出处
《中国继续医学教育》
2016年第4期71-72,共2页
China Continuing Medical Education
关键词
食管破裂
裂口封闭
感染控制
诊治
Esophageal rupture
Closed wound
Infection control
Diagnosis and treatment
