自发性食管破裂诊治的临床分析

Clinical analysis on spontaneous esophageal rupture

目的总结自发性食管破裂的诊断及治疗经验。方法对2000年1月～2011年月12月共收治16例自发性食管破裂患者的诊断、治疗结果进行回顾性分析。结果开胸手术的13例中,痊愈10例,死亡3例,术后并发吻合口痰1例,保守治疗3例中,痊愈1例,自动出院1例,死亡1例。结论早期诊断与正确治疗是成功治疗自发性食管破裂的关键。

Objective To summarize the experiments of diagnosis and treatment of spontaneous e- sophageal ruptures. Methods The diagnosis, treatments and results of 16 patients with spontaneous e- sophageal ruptures were reviewed and analyzed in our hospital from Jan. 2000 to Dec. 2010. Results A- mong 13 thoracic surgery, 10 cases recovered and 3 cases died, lcase got postoperative anastomotic spu- tum; among 3cases with conservative treatment, one recovered, one automatic discharged, one died. Conclusions Early diagnosis and promptly exactitude therapy is the key point for treatment of spontane- ous esophageal ruptures.