摘要
目的：早期确诊食管穿孔，减少纵隔脓肿的发生率。方法：通过吞服泛影葡胺食管造影及纤维食管镜检查。结果：通过对１６例早期确诊为食管穿孔的病人及２０例未及时确诊的病人比较二者纵隔脓肿发生率分别为６．７５％和９５％，二者死亡率分别是６．７５％和５０％。结论：食管穿孔早期诊断可明显减少纵隔脓肿发生率，并且降低病人死亡率。
Objective: To decreas incidence of mediaslinum abscess, early diagnosis of esophagus perforation is established. Methods:Patiens should take cardiografin contrast and examine fibrous esophagus by microscope. Result: The incident of mediaslinum abscess and the death rate all were 6. 75% in case of early diagnosis. whereas the incidence of mediaslinum abscess and the death rate were 9% % and 5% in case late diagnosis. Conclusion: Early diagnosis of esophagus perforation can decrease the in cidence of mediuslinum abscess and the death rate.
