75例自发性食管破裂的临床观察  

The experience of diagnosis and treatment about 75 cases of spontaneous rupture of esophagus

作　　者：马全林 邢婕 张旭光 

机构地区：[1]山西省汾阳医院心胸外科,山西汾阳032200

出　　处：《中国民族民间医药》2013年第16期102-102,104,共2页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:总结自发性食管破裂的临床表现、诊断及处理方法,以提高临床诊治水平。方法:对75例自发性食管破裂的临床资料进行回顾性分析。结果:保守治疗11例,治愈9例,死亡2例;手术治疗64例,治愈56例,死亡8例。结论:自发性食管破裂是一种死亡率较高的胸外科急症,迅速诊断和及时治疗是保证自发性食管破裂治疗成功率的关键。Objective： To summarize clinical manifestations, diagnosis and treatment of spontaneous esophageal rupture. And thereby to improve the level of clinical diagnosis and treatment. Methods： The clinical data of 75 cases with spontaneous esophageal rupture were retrospective analyzed. Results： Conservative treatment for 11 cases, the care in 9 cases, 2 patients died. Surgical treatment for 64 cases, the care in 56 cases, 8 patients died. Conclusion： Spontaneous esophagus rupture is an emergency of thorac- ic surgery with higher mortality, Rapid diagnosis and prompt treatment is critical to ensure success in the treatment of spontaneous e- sophageal rupture.

关 键 词：自发性食管破裂 诊断 治疗 BOERHAAVE综合征 

分 类 号：R655.4[医药卫生—外科学]