摘要
通过自发性食管破裂１６例临床总结，强调胸部Ｘ检查、食管造影、口服美蓝液是确诊的主要手段。治疗以积极开胸手术为主，对裂口缝合后用带肋间血管蒂的胸壁复合软组织瓣包绕缝合口较确实可靠。对发病超过２４小时者，只要全身和局部情况允许，行破裂段食管切除、食管胃吻合、胃体包埋吻合口较其他术式安全。
Spontaneous rupture of the esophagus is caused by sudden elevation of intraesophageal pressure.In this group,87% had an obvious of history emesis.The typical manifestation is a trilogy of vomiting,chest pain and subcutaneous emphysema.Accurate diagnosis depends mainly on the chest X ray examination,radiography of the esophagus and oral administration of methylene blue solution.For early cases(<24h)active thoracotomy is the optimal treatment.Suture repair reinforced with compound chest soft tissue including intercostal vessel pedicle gives definite,reliable results.If the delay is over 24hrs,as olng as general and local conditions permit,excision of ruptured esophageal segment,esophago gastric anastomosis,and embedment of the anastomosis with gastric corpus might be a safe procedure.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1997年第4期224-225,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
自发性
食管破裂
诊断
外科手术
Spontaneous rupture of the esophagus Surgical treatment
