39例食管异物严重并发症的分析

Analysis of 39 Cases of Severe Complications of Esophsgeal Foreign Body

目的 :探讨食管异物严重并发症的治疗方法。方法 :总结我院收治的 39例食管异物严重并发症的临床资料。结果 :食管内引流法 9例 ,颈侧切开引流法 15例 ,经颈纵隔切开引流法 5例 ,3例剖胸取出异物 ,7例为食管癌。结论 :食管异物早诊、早治疗方可避免发生严重并发症。食管周围脓肿、纵隔脓肿应根据脓肿部位、病人全身情况等灵活选择引流方法 ,加上全身抗感染、支持疗法 ,大多数病人可望痊愈。

Objective:To analyze the treatment of severe complications of esophageal foreign body including bperiesophageal abscess and mediastinal abscess.Methods:Resalts of treatment of severe complications from 39 cases with esophageal foreign bodies esophageal foreign body.Recults:Satisfactory results were obtained by esophageal internal drainage,lateral neck incision and drainage and transcervicomediasinal incision and drainage.Conclusion:Severe complications associated with esophageal foreign body need to be prevented by early diagnosis and early treatment.According to the abscess locations and general conditions of the patients different methods of treatment should be choosen.Most patients can completely recover from the diseaes by means of additional treatments including intrroenous anbiotics and supporting therapy.