摘要
目的 探讨自发性食管破裂 ( Boerhaave' s综合征 )的诊断和治疗。方法 对我院自 1 965年以来收治的 7例 Boerhaave' s综合征作回顾性研究 ,并结合文献复习。结果 4例根据临床资料诊断 ,3例经手术探查确诊。 2例保守治愈 ;3例于发病后 2 4小时内手术修补 ,其中 2例好转 ,1例死于再破裂 ;另 2例于发病 1个月后手术 ,均治愈。结论 高度警惕本病并迅速获得全面、准确的发病史是避免误诊、漏诊的关键。诊断主要根据胸片、食管造影及特征性的胸腔引流物。充分引流和手术修补是有效而可靠的治疗方法。
Objective To discuss the diagnosis and treatment of spontaneous esophageal rupture (Boerhaave's syndrome) Methods Seven patients seen in our hospital from 1965 till now were investigated retrospectively Results Four patients were diagnosed clinically,and 3 were diagnosed intraoperatively Two were successfully treated conservatively Three underwent primary repair within 24 hours of onset,with satisfactory results in 2,but 1 died of rerupture Two cases received operation more than one month later and both survived Conclusions A rapid but complete and accurate grasp of history,remaining high alert on the disease is the key to avoid misdiagnosis The diagnosis can be confirmed or excluded by a chest film,a contrast study of the esophagus or characteristic contents in thoracic fluid Sufficient drainage and esophageal repair is effective and reliable therapy
出处
《北京医学》
CAS
北大核心
2000年第2期70-72,共3页
Beijing Medical Journal
