摘要
目的：探讨自发性食管破裂的诊断及治疗经验,减少误诊误治,提高自发性食管破裂的救治成功率。方法：对我院1995年~2009年收治的14例自发性食管破裂患者的临床资料进行回顾性分析。结果：本组手术修补10例患者中,发病后24 h内修补9例,72 h内修补1例,均I期愈合;食管切除食管胃颈部吻合2例均在发病72 h后手术,1例Ⅰ期愈合,1例在手术第4天后发生吻合口瘘,经颈部引流、支持治疗后痊愈;单纯胸腔闭式引流加空肠造瘘2例均为发病72 h后确诊,1例经胸腔闭式引流待生命体征稳定,营养状况明显改善后,行食管切除食管胃颈部吻合术治愈,1例死亡。结论：发性食管破裂的早期诊断、及时正确的手术治疗以及全面系统的营养支持是治疗成功的关键因素。
Objective： To discuss the diagnosis and treatment of spontaneous rupture of esophagus in order to avoid misdiagnosis and mistreatment.Methods： Retrospective analyses on 14 cases of spontaneous esophagus rupture patients that were treated in our hospital during 1995 to 2009 was conducted.Results： Ten of the 14 patients underwent internal repair surgery within 24 hours（9 caes）,or within 72 hours（1 case） after onset,and all achieved stage I recovery.One of the 2 patients that underwent esophagectomy ＋ cervical esophagogastrostomy 72 hours after onset achieved stage I recovery,while the other had fistula and recovered after cervical drainage and supportive therapy.One of the 2 patients that were treated with closed thoracic drainag plus jejunostomy died,the other recovered after esophagectomy ＋ cervical esophagogastrostomy.Conclusions： Early diagnosis,peroper treatment and comprehensive nutrients support are key factors to the successful treatment of spontaneous rupture of esophagus
出处
《海南医学院学报》
CAS
2011年第6期804-805,808,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020110204)~~
关键词
食管破裂
误诊
外科手术
治愈
Esophageal rapture
Treatments
Surgery
Cure
