自发性食管破裂8例诊治体会

Clinical Analysis of 8 Patients with Spontaneous Esophageal Rupture

目的:探讨自发性食管破裂的诊断和治疗经验。方法:对我院1996年2月至2009年8月收治的8例自发性食管破裂患者的诊断和治疗作回顾性分析。结果:全组患者7例行手术治疗,1例行保守治疗。6例患者行修补手术,其中4例行分层缝合,2例行全层缝合。1例行食管切除胃食管吻合术。本组痊愈7例,死亡1例。结论:早期诊断和早期治疗是自发性食管破裂的治疗原则。确诊患者,若病情允许,应首选手术治疗。

Objective：To explore the clinical diagnosis and treatment of spontaneous esophageal rupture.Methods：The clinical features,diagnosis and surgical treatment of 8 patients with spontaneous esophageal rupture were retrospectively reviewed.Results：There were 7 cases treated by surgical therapy and 1 case for conservative treatment.6 cases were treated by surgical repair including 4 cases of layered suture and 2 cases of single-layer suture.1 case was treated by esophagus resection and gastroesophagostomy.In the whole group,7 cases were cured and 1 case died.Conclusion：The therapeutic principle of spontaneous esophageal rupture are early diagnosis and early treatment.For diagnosed patient,surgical procedure is the first choice if condition permitted.