摘要
自发性食管破裂,又称Boerhaave综合征,是临床上一种严重的胸科急症,因临床少见且易与其他疾病,如急性心肌梗死、消化性溃疡穿孔、急性胰腺炎等混淆,临床诊断较困难,死亡率高。本病的治疗各家纷说不一,早期诊断对其预后有重要意义。随着新技术的不断发展,内镜治疗起重要作用。目前对本病的报道多以一个或多个病例为主,对该病系统的归纳和总结较少见。本文对自发性食管破裂的诊断和治疗作一综述,旨在提高其临床诊治水平。
Spontaneous rupture of esophagus also known as Boerhaave’s syndrome,is an extremely severe thoracic disease with high mortality,and is difficult to diagnose because of its rarity and frequent confusion with other severe clinical conditions,such as acute myocardial infarction,perforated peptic ulcer and acute pancreatitis. Although there is no general consensus on its therapeutic strategy,the prognosis depends on the time interval between disease onset and diagnosis. With the development of the new technology,endoscopic treatment plays an important role in the treatment of this disease. At present,there are mainly case and cases reports,and lack of systematic study and summarization. The present article was a summary on the advances of diagnosis and treatment of this disease in recent years.
出处
《胃肠病学》
2008年第8期505-507,共3页
Chinese Journal of Gastroenterology
关键词
破裂
自发性
食管
早期诊断
治疗
Rupture,Spontaneous
Esophagus
Early Diagnosis
Therapy
