Jotte R S
George Washington/Georgetown University, Emergency Medicine Residency, Washington, D.C. 20037.
J Emerg Med. 1991 Nov-Dec;9(6):437-43. doi: 10.1016/0736-4679(91)90215-2.
Esophageal injuries are potentially serious disorders requiring prompt recognition and management. In addition to the well-recognized Mallory-Weiss and Boerhaave's syndromes, there exists a condition of spontaneous intramural esophageal hemorrhage: esophageal apoplexy. A case of esophageal apoplexy is presented as well as an evaluation of clinical presentations based on a collected review of the 66 cases previously reported. In addition, esophageal apoplexy is contrasted with the Mallory-Weiss and Boerhaave's syndromes, focusing on distinguishing attributes of utility to the emergency practitioner.
食管损伤是潜在的严重病症,需要及时识别和处理。除了广为人知的马洛里-魏斯综合征和博勒哈夫综合征外,还存在一种自发性食管壁内出血的病症:食管卒中。本文报告了一例食管卒中病例,并基于对先前报道的66例病例的收集回顾对临床表现进行了评估。此外,将食管卒中与马洛里-魏斯综合征和博勒哈夫综合征进行了对比,重点关注对急诊医生有用的鉴别特征。