Niezgoda J A, McMenamin P, Graeber G M
Department of Emergency Medicine, David Grant Air Force Medical Center, Travis Air Force Base, California.
Ann Thorac Surg. 1990 Oct;50(4):615-7. doi: 10.1016/0003-4975(90)90199-g.
Pharyngoesophageal perforation secondary to blunt neck trauma is an uncommon injury that can cause serious morbidity and mortality if not recognized and treated. Pharyngeal perforation secondary to blunt trauma sustained while boxing is reported. Review of the world literature found 10 cases of pharyngoesophageal perforation secondary to blunt neck trauma. Analysis of these cases indicates that perforations less than 2 cm and limited to the pharynx may be treated medically with close observation. Large perforations and those perforations that extend to the esophageal inlet or involve the esophagus exclusively are best treated surgically.
钝性颈部创伤继发的咽食管穿孔是一种罕见的损伤，如果未被识别和治疗，可能会导致严重的发病率和死亡率。本文报道了拳击时钝性创伤继发的咽穿孔病例。回顾世界文献发现了10例钝性颈部创伤继发的咽食管穿孔病例。对这些病例的分析表明，小于2厘米且仅限于咽部的穿孔可通过密切观察进行保守治疗。较大的穿孔以及那些延伸至食管入口或仅累及食管的穿孔最好进行手术治疗。
