Roan Jun-Neng, Wu Ming-Ho
Department of Surgery, Tainan Municipal Hospital, Tainan, Taiwan.
J Cardiothorac Surg. 2010 Dec 17;5:130. doi: 10.1186/1749-8090-5-130.
Esophageal perforation after external air-blast trauma is rarely presented in the emergency room. The diagnosis is often delayed more than 24 hours.
We review the literature and report a case of esophageal perforation caused by external air-blast injury.
Including the present case, a total of 5 cases of esophageal perforation were caused by external air-blast injury in English literature. Of them, the common presentations were chest pain and dyspnea. The treatment methods varied with each case. One patient died before diagnosis of esophageal perforation and the others survived after proper surgical management.
Early diagnosis and proper surgical management can reduce the morbidity and mortality of patients who suffered from esophageal perforation caused by external air-blast injury.
外部气爆伤后食管穿孔在急诊室很少见。诊断通常延迟超过24小时。
我们回顾文献并报告1例由外部气爆伤导致的食管穿孔病例。
包括本病例在内,英文文献中共有5例食管穿孔由外部气爆伤所致。其中,常见表现为胸痛和呼吸困难。治疗方法因病例而异。1例患者在食管穿孔诊断前死亡,其他患者经适当手术治疗后存活。
早期诊断和适当的手术治疗可降低因外部气爆伤导致食管穿孔患者的发病率和死亡率。