电视胸腔镜引流治疗儿童食管穿孔合并纵隔炎
Videothoracoscopic drainage for esophageal perforation with mediastinitis in children.
作者信息
Peng Li, Quan Xu, Zongzheng Ji, Ya Gao, Xiansheng Zhang, Yitao Duan, Zhengtuan Guo, Baijun Zheng, Xinkui Guo, Xuanlin Wu
机构信息
Department of Pediatric Surgery, the Second Hospital of Xi'an Jiaotong University, Xi'an 710004, China.
出版信息
J Pediatr Surg. 2006 Mar;41(3):514-7. doi: 10.1016/j.jpedsurg.2005.11.047.
BACKGROUND
Esophageal perforation remains a devastating event that is difficult to diagnose and manage. The overall mortality associated with esophageal perforation can approach 20%, and delay in treatment of more than 24 hours after perforation can result in a doubling of mortality. The treatment option for esophageal perforation with mediastinitis is not very clear and still controversial.
METHODS
Between April 2000 and March 2004, 6 males and 2 females, with ages ranging from 2 to 6 years (mean, 3.8 years), underwent videothoracoscopic drainage for esophageal perforation with mediastinitis.
RESULTS
The mean hospital length of stay for patients in our series was 34.1 days (range, 14-47 days). There was no perioperative mortality. All patients were discharged from hospital without major sequelae.
CONCLUSIONS
Minimally invasive videothoracoscopic drainage is a feasible and effective method for esophageal perforation with mediastinitis in children.
背景
食管穿孔仍然是一种难以诊断和处理的灾难性事件。与食管穿孔相关的总体死亡率可接近20%，穿孔后超过24小时的治疗延迟可导致死亡率翻倍。伴有纵隔炎的食管穿孔的治疗选择尚不十分明确，仍存在争议。
方法
在2000年4月至2004年3月期间，6名男性和2名女性，年龄在2至6岁（平均3.8岁），接受了电视胸腔镜下引流术治疗伴有纵隔炎的食管穿孔。
结果
我们系列研究中患者的平均住院时间为34.1天（范围14 - 47天）。围手术期无死亡病例。所有患者均出院，无严重后遗症。
结论
微创电视胸腔镜下引流术是治疗儿童伴有纵隔炎的食管穿孔的一种可行且有效的方法。
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