自发性食管破裂的诊断和治疗  

Diagnosis and management of spontaneous rupture of the esophagus

作　　者：蔡开灿[1] 王文林[2] 杨锡耀[1] 

机构地区：[1]第一军医大学南方医院胸心血管外科,广东广州510515 [2]广州军区总医院胸心血管外科,广东广州510010

出　　处：《第一军医大学学报》2002年第4期346-347,共2页Journal of First Military Medical University

摘　　要：目的通过对15例自发性食管破裂的分析,探讨其诊断和治疗的规则。方法15例中行手术治疗11例,非手术治疗4例。结果11例痊愈,4例死亡,治愈率73%。结论早期诊断和积极手术是成功治疗自发性食管破裂的关键,对延误诊断的病例,仍应适当放宽手术适应证。Objective To explore guidienes of the diagnosis and management for spontaneous rupture of the esophagus. Methods Of the 15 patients suffering spontaneous rupture of the esophagus, 11 received surgical treatment while the other 4 received non-operative treatment. Results Eleven patients recovered smoothly and death occurred in 4 cases, with the total cure rate of 73%. Conclusion Early diagnosis and operation are crucial for management of spontaneous rupture of the esopha-gus, and in cases of delayed diagnosis, indications for operation need to be extended.

关 键 词：自发性食管破裂 食管修补 外科治疗 

分 类 号：R655.4[医药卫生—外科学]