摘要
回顾性分析我科2007年8月至2011年12月收治的17例食管穿孔和食管破裂患者的临床资料.自发性食管破裂6例,食管异物致穿孔8例,医源性损伤3例.2例因病情危重家属放弃治疗,1例因全身状况差无法耐受手术行保守治疗,14例行手术治疗（13例开胸,1例颈部切口）.保守治疗患者死亡,手术治疗者死亡2例,12例痊愈出院.对食管穿孔和食管破裂应根据病情选择治疗方案.
We retrospectively analyzed the clinical data of 17 patients with esophageal perforation and rupture from August 2007 to December 2011.Among them,there were spontaneous esophageal rupture （n =6）,esophageal perforation caused by foreign bodies （n =8） and iatrogenic injury （n =3）.Family members gave up treatment because of critical illness （n =2）,conservative treatment was offered for surgical intolerance （n =1） and all others （n =14） underwent operation （thoractomy,n =13 ; neck incision,n =1）.One patient with conservative treatment and another two surgical cases died.The other 12 cases recovered.Therefore individualized treatment is essential for the patients with esophageal perforation and rupture.
出处
《中华全科医师杂志》
2013年第11期923-925,共3页
Chinese Journal of General Practitioners
关键词
食管穿孔
食管破裂
Esophageal perforation
Esophageal rupture
