Hafer G, Haunhorst W H, Stallkamp B
Abteilung für Allgemeinchirurgie, Marienhospitals Osnabrück.
Zentralbl Chir. 1990;115(12):729-35.
The complete atraumatic rupture of an intact esophageal wall had been described first by Boerhaave in 1724. We reviewed 424 published cases from that time until 1985 regarding the clinical feature and different types of diagnosis and treatment. An over all mortality rate between 28 and 85% was found which is highly influenced by the time the right diagnosis is made and by the choice of treatment. It is demonstrated that only an early diagnosis followed by immediate surgery (suture of the perforation protected by a pleural flap) can improve the poor prognosis of this illness.
1724年，布尔哈夫首次描述了完整食管壁的完全无创伤性破裂。我们回顾了从那时到1985年发表的424例病例，涉及临床特征以及不同类型的诊断和治疗。发现总体死亡率在28%至85%之间，这受到做出正确诊断的时间和治疗选择的高度影响。结果表明，只有早期诊断并立即进行手术（用胸膜瓣保护穿孔处进行缝合）才能改善这种疾病的不良预后。
