食管自发性破裂的诊治体会  

Diagnosis and treatment for spontaneous rupture of esophagus

作　　者：杨伟锋 Yang Weifeng(Department of Thoracic Surgery,Qinyang People’s Hospital,Qinyang 454550,China)

机构地区：[1]沁阳市人民医院胸外科,454550

出　　处：《国际医药卫生导报》2018年第24期3773-3775,共3页International Medicine and Health Guidance News

摘　　要：目的 分析和研究食管自发性破裂(SPE)的诊治。方法 选取本院2008年1月至2018年5月收治12例食管自发性破裂患者为研究对象,行胸腔闭式引流术,并观察治疗效果。结果 9例患者行手术治疗,总体治愈率为88.9%。7例患者进行了I期修补术,治愈率77.8%;采用消化道重建和食管带膜支架置入术的2例患者均治愈;其余3例采用保守治疗,好转2例。结论 SPE虽然是一种凶险性疾病,但经过正规的治疗后是可以痊愈的,胸外科医师需要掌握其常规的诊治要点,以提高疾病治愈率,减少该病的致残致死风险,降低治疗后并发症发生率。Objective To analyze and study the diagnosis and treatment for esophageal spontaneous rupture.Methods 12 patients with spontaneous rupture of esophagus admitted into our hospital from January,2008 to May,2018 were selected as study objects;and thoracic closed drainage was performed on the patients.The therapeutic effect was observed.Results 9 patients were surgically treated;and the total cured rate was 88.9%.Seven patients underwent phase I repair and 77.8%were cured.Two patients were cured by digestive tract reconstruction and esophageal band stent implantation.The remaining 3 patients took conservative treatment,and 2 were improved.Conclusions Although SPE is a dangerous disease,it can be cured after regular treatment.Thoracic surgeons need to master its routine diagnosis and treatment points to improve the cured rate,reduce the risk of disability and death and the incidence of complications after treatment.

关 键 词：食管 自发性破裂 诊治体会 

分 类 号：R655.4[医药卫生—外科学]