自发性食管破裂的诊疗及死亡原因分析

Disgnosis,Treatment and Death Causes of Spontaneous Rupture of Esophagus

目的 探讨自发性食管破裂 (SpontaneousRuptureofEsophagus,SRE)的诊断、治疗方法以及死亡原因。方法 对两家医院 35例自发性食管破裂患者的诊疗经过进行回顾性分析。结果 经手术治疗的 2 8例患者中术后死亡 1例 ;保守治疗的 7例患者中死亡 6例 ,1例术后死亡 ,病死率为 2 0 %。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。

Objective To investigate the diagnosis,Management and the death causes of spontaneous rupture of esophagus.Methods Retrospective analysis was made on diagnosis and management of 35 patients with spontaneous rupture of esophagus admitted into two hospitals.Results Of the 35 Patients with spontaneous rupture of esophagus,28 received surgical treatment and death occurred in 1 cased;While the other 7 received non-operative treatment and death occurred in 6 cased.With the total death rate of 20%.Conclusion Early diagnosis and operation are crucial for management of spontaneous rupture of esophagus.The death is almost because of delayed diagnosis and delayed management.