Hager J, Menardi G
Abteilung für Kinderchirurgie, I. Universitätsklinik für Chirurgie, Innsbruck/Osterreich.
Rofo. 1990 Mar;152(3):311-5. doi: 10.1055/s-2008-1046874.
Oesophageal perforation or rupture is rare in childhood; recently there has been an increase, mostly due to the more frequent use of endoscopy in neonates. The prognosis depends largely on early diagnosis and the type of treatment. The author has seen eight children, aged between one day and nine years, with oesophageal lesions. Of these, six had a perforation and two a rupture of the oesophagus. The problems of diagnosis and treatment and their complications are discussed with reference to these patients. Stress is laid on the importance of early diagnosis. In children, contrary to the case in adults, conservative treatment is often possible.
小儿食管穿孔或破裂较为罕见；近年来有所增加，主要是由于新生儿内镜检查使用更为频繁。预后很大程度上取决于早期诊断和治疗方式。作者诊治过8例年龄在1天至9岁之间的食管病变患儿。其中，6例为食管穿孔，2例为食管破裂。结合这些病例讨论了诊断、治疗问题及其并发症。强调了早期诊断的重要性。与成人不同，小儿往往可行保守治疗。
