Diagnosis and therapy of esophageal perforation in the aged

Abstract AIMS To study the diagnosis and therapy of esophageal perforation in the aged. METHODS 335 elderly patients undergoing endoscopy or therapeutic esophageal dilation in our hospital from July 1988 to August 1995 were studied retrospectively. Of these patients, 31 had esophageal perforation, 17 of whom were treated nonsurgically (nasogastric drainage, antibiotics, and intravenous alimentation), 8 underwent total esophagectomy, and 6 received surgical drainage.

Boerhaave综合征8例分析

目的:研究Boerhaave综合征的早期诊断和治疗。方法:对8例患者的诊断与治疗进行回顾性分析。结果:治愈6例,死亡2例。结论:早期诊断:(1)剧烈呕吐时突然发生胸背或上腹部难以忍受的疼痛;(2)X线检查患侧有液气胸征象;(3)胸穿抽出咖啡样液体或食物残渣;(4)口服活性炭或美蓝,胸穿液染色;(5)食管造影可见造影剂自破裂处外溢至胸腔;(6)必要时行食管镜检查确诊。本病确诊后应立即开胸探查,修补食管穿孔。