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自发性食管破裂11例诊治体会

Diagnosis and Treatment of Spontaneous Esophageal Ruptures in 11 Patients
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摘要 目的探讨自发性食管穿孔患者的早期诊断、正确及时的急救处理方式,以提高食管穿孔的治愈率。方法对自发性食管穿孔的发病原因、误诊情况、临床表现、治疗方式进行回顾性分析和探讨。结果本组11例中,10例手术治疗(食管穿孔修补术),1例保守治疗,8例治愈,死亡3例,治愈率73%,9例误诊,误诊率82%。结论食管穿孔的早期诊断、早期手术治疗是降低病死率的关键。 Objective To investigate the early diagnosis and proper emergency treatment of spontaneous perforation of esophagus and improve the cure rate of esophageal perforation. Methods The cause of disease, misdiagnosis, clinical situation and treatment of spontaneous perforation of esophagus were analyzed retrospectively. Results In all 11 cases, 10 were treated with operative therapy(neoplasty) and 1 with conservative treatment. 8 cases were healed,3 cases died, the cure rat was 73%. 9 cases were misdiaguosed, the misdiagnosis rate is 82%. Conclusions The early diagnosis and operative .therapy plays a vital role in decreasing the fatality rate of patients with esophagus perforation.
作者 孙长辉
出处 《实用全科医学》 2008年第4期371-372,共2页 Applied Journal Of General Practice
关键词 食管穿孔 诊断 治疗 Perforation of esophagus Diagnosis Treatment
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  • 1张辉,杜晓鹏.带血管肌瓣手术修补治疗食管破裂疗效观察[J].中国误诊学杂志,2004,4(7):1080-1081. 被引量:5
  • 2高尚志.大网膜在心胸外科应用的近识[J].中国实用外科杂志,1994,14(10):587-588. 被引量:5
  • 3马旺扣,宋启元,朱养荣.14例自发性食管破裂的外科治疗[J].中华胸心血管外科杂志,1995,11(2):98-100. 被引量:32
  • 4黄孝迈.手术学全集胸外科卷[M].北京:人民军医出版社,1995.224-254.
  • 5张效公.胸外科主治医生300问.现代主治医生提高丛书[M].北京:北京医科大学中国协和医科大学联合出版社,1998.313-315.
  • 6林增录 孙以鲁 等.大网膜的临床应用[J].中华外科杂志,1982,20(12):767-767.
  • 7Duehring GL.Boerhaave syndrome.Radiol Technol,2000,72:51-55.
  • 8Brauer RB, Liebermann-Meffert D, Stein HJ, et al. Boerhaave's syndrome: analysis of the literature and report of 18 new cases. Dis Esophagus,1997, 10: 64-68.
  • 9Liu K, Wang YJ, Cheng QS. Surgical treatment of Boerhaave's syndrome: when, how and why? Dis Esophagus,1998,11: 251-253.
  • 10Dayen C, Mishellany H, Hellmuth D, et al. Spontaneous rupture of the esophagus or Boerhaave syndrome. Report of 3 cases and review of the literature. Rev Mal Respir, 2001, 18: 537-540.

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