食管穿孔的早期诊断及对预后的影响  

Early Diagnosis of Esophageal Perforation and Prognosis

作　　者：周钧 于丹[2] 

机构地区：[1]深圳市人民医院胸外科 [2]吉林市中心医院骨外科

出　　处：《吉林医学院学报》1999年第1期38-38,共1页

摘　　要：目的：早期确诊食管穿孔，减少纵隔脓肿的发生率。方法：通过吞服泛影葡胺食管造影及纤维食管镜检查。结果：通过对１６例早期确诊为食管穿孔的病人及２０例未及时确诊的病人比较二者纵隔脓肿发生率分别为６．７５％和９５％，二者死亡率分别是６．７５％和５０％。结论：食管穿孔早期诊断可明显减少纵隔脓肿发生率，并且降低病人死亡率。Objective: To decreas incidence of mediaslinum abscess, early diagnosis of esophagus perforation is established. Methods:Patiens should take cardiografin contrast and examine fibrous esophagus by microscope. Result: The incident of mediaslinum abscess and the death rate all were 6. 75% in case of early diagnosis. whereas the incidence of mediaslinum abscess and the death rate were 9% % and 5% in case late diagnosis. Conclusion: Early diagnosis of esophagus perforation can decrease the in cidence of mediuslinum abscess and the death rate.

关 键 词：食管穿孔 纵隔脓肿 早期诊断 预后 发病率 

分 类 号：R655.4[医药卫生—外科学] R655.501[医药卫生—临床医学]