Demirbag Suzi, Tiryaki Tugrul, Atabek Cuneyt, Surer Ilhami, Ozturk Haluk, Cetinkursun Salih
Department of Pediatric Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
Clin Pediatr (Phila). 2005 Mar;44(2):131-4. doi: 10.1177/000992280504400204.
The aim of this study was to evaluate the safety and efficacy of nonoperative treatment of esophageal perforation (EP) in children. Between 1999 and 2004, 13 episodes in 12 patients were evaluated. The treatment program consisted of broad-spectrum antibiotics, nasopharyngeal aspiration, parenteral and/or enteral nutrition by gastrostomy, and pleural effusion or mediastinal abscess drainage when required. Mean age of the patients was 3.75 +/- 1.13 (range 3-7 years). Two patients (16.7%) were girls and 10 patients (83.3%) were boys. Chest pain was found 76.9% of all EP episodes (10 of 13 perforations), followed by dyspnea in 69.2% (9 of 13), vomiting in 46.1% (6 of 13), fever in 46.1% (6 of 13), and epigastric pain in 7.6% (1 of 13). No deaths occurred. In children, in contrast with the adults, EP can be treated safely by nonoperative methods.
本研究的目的是评估儿童食管穿孔（EP）非手术治疗的安全性和有效性。在1999年至2004年期间，对12例患者的13次发作进行了评估。治疗方案包括广谱抗生素、鼻咽抽吸、通过胃造口进行肠外和/或肠内营养，以及在需要时进行胸腔积液或纵隔脓肿引流。患者的平均年龄为3.75±1.13岁（范围3至7岁）。2例患者（16.7%）为女孩，10例患者（83.3%）为男孩。在所有EP发作中，76.9%（13次穿孔中的10次）出现胸痛，其次是69.2%（13次中的9次）出现呼吸困难，46.1%（13次中的6次）出现呕吐，46.1%（13次中的6次）出现发热，7.6%（13次中的1次）出现上腹部疼痛。无死亡病例。与成人不同，儿童EP可以通过非手术方法安全治疗。
