Ertekin C, Yanar H T, Güloğlu R, Taviloğlu K, Dilege S
Istanbul Universitesi Istanbul Tip Fakültesi Genel Cerrahi, A.B.D., Istanbul.
Ulus Travma Derg. 2001 Jan;7(1):22-7.
Despite progress in the management of esophageal perforations by early diagnosis, antibiotics, monitoring, and respiratory and nutritional support, it still remains as a disasterous condition. The most common cause of esophageal perforation is iatrogenic disruption. The result in the management of esophageal perforation is influenced by several factors: localization and size of the rupture, length of delay in diagnosis, age, extent of mediastinal and pleural contamination, the presence of underlying esophageal diseases, and inflammation or tumor at the perforation localization. In this study, 7 cases of esophageal perforations in the last six years have been analysed retrospectively. In study group, there were 5 males and 2 females, and the mean age was 36 (12-75). The most common cause of perforation was gunshot injury (3 cases), and stab wound (1 case), foreign body (1 case), iatrogenic distruption (2 cases). Three patients died and four patients were discharged from hospital with recovery. Esophageal perforation is a life-threatening condition. Early diagnosis and repair reduces the morbidity and mortality.
尽管在食管穿孔的管理方面取得了进展，包括早期诊断、使用抗生素、监测以及呼吸和营养支持，但它仍然是一种灾难性疾病。食管穿孔最常见的原因是医源性损伤。食管穿孔的治疗结果受多种因素影响：破裂的部位和大小、诊断延迟的时间、年龄、纵隔和胸膜污染的程度、潜在食管疾病的存在以及穿孔部位的炎症或肿瘤。在本研究中，对过去六年中7例食管穿孔病例进行了回顾性分析。研究组中有5名男性和2名女性，平均年龄为36岁（12 - 75岁）。穿孔最常见的原因是枪伤（3例）、刺伤（1例）、异物（1例）、医源性损伤（2例）。3例患者死亡，4例患者康复出院。食管穿孔是一种危及生命的疾病。早期诊断和修复可降低发病率和死亡率。
