摘要
目的:总结食管自发性破裂的原因、诊断及治疗方法,以提高诊治水平。方法:回顾性分析7例食管自发性破裂患者的临床资料,7例患者确诊后早期开胸修补食管破裂口及纵隔和胸腔引流。结果:6例患者误诊,所有患者开胸修补食管破裂口,均获得成功。结论:食管自发性破裂原因复杂,容易误诊,胸部CT对食管自发性破裂的诊断具有积极意义,一旦确诊早期开胸修补食管破裂口、充分的引流是治疗成功的关键。
Objective： To summarize the reasons, diagnosis and treatment of spontaneous esophageal rupture. Method：Clinical datas of 7 patients with spontaneous esophageal rupture were analysed from July 1994 to December 2006. 7 patients underwent primary surgical repair and mediastinal and pleural drainage procedures immediately after diagnosis. Result：6 patients was misdiag-msed. All patients recovered very well after the operation. Conclusion：The reasons of spontaneous esophageal rupture are complicated. CT is emerging as a very useful tool to spontaneous esop primary surgical repair and sufficient mediastinal lished. hageal rupture. The key point of the therapy is emergent and pleural drainage immediately after diagnosis estab-lished
出处
《河北医学》
CAS
2008年第5期545-546,共2页
Hebei Medicine
关键词
食管自次出陂裂
诊断
治疗
Spontaneous esophageal rupture
Diagnosis
Treatment
