摘要
Abstract AIMS To study the diagnosis and therapy of esophageal perforation in the aged. METHODS 335 elderly patients undergoing endoscopy or therapeutic esophageal dilation in our hospital from July 1988 to August 1995 were studied retrospectively. Of these patients, 31 had esophageal perforation, 17 of whom were treated nonsurgically (nasogastric drainage, antibiotics, and intravenous alimentation), 8 underwent total esophagectomy, and 6 received surgical drainage.
目的探讨老年食管穿孔的诊断和治疗。方法我们对１９８８年７月＿１９９５年８月在我院行内镜检查或行食管扩张术治疗的３３５例老年患者作了回顾性研究，食管穿孔３１例，其中１７例接受非手术治疗（鼻胃引流，抗菌素，静脉内营养），８例作了食管全部切除术，对其余６例只施行外科引流术。结果治愈１６例，穿孔闭合但持续性吞咽固体食物困难，只能进软食者９例；死亡６例。治愈率为５１．６％（１６／３１），病死率为１９．４％（６／３１）。结论老年人易发生食管穿孔，食管穿孔后症状比较典型，主要为胸痛，气短和吞咽困难，诊断并非难事，早期诊治十分重要。
