[食管异物所致食管穿孔的诊断与治疗]
[Diagnosis and treatment of esophagus perforation caused by esophageal foreign bodies].
作者信息
Zou Yihui, Wang Xuwu, Li Weimin, Zhao Hui, Liu Riyuan, Yang Shiming, Wang Rongguang
机构信息
Department of Otolaryngology-Head and Neck Surgery, the General Hospital of PLA, Beijing, 100853, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 Oct;25(19):871-2, 875.
OBJECTIVE
Summarize the treatment skills of esophagus perforation caused by esophageal foreign bodies.
METHOD
Retrospectively analyze the seven cases of esophagus foreign body perforation with various complications in our department.
RESULT
Six cases recovered in 3 to 18 days after operation, on average 14.2 day, while one case recovered in 49 days by conservative method.
CONCLUSION
Foreign bodies removing, fistulae repairing, abscess incising, effusion rinsing, effective antibiotics administrating and support treatment are effective to treat esophagus perforation caused by esophageal foreign bodies. It will take a relative long time to be treated only by conservative way.
目的
总结食管异物致食管穿孔的治疗技巧。
方法
回顾性分析我科7例食管异物穿孔伴多种并发症的病例。
结果
6例术后3至18天恢复，平均14.2天，1例采用保守治疗49天恢复。
结论
取出异物、修补瘘口、切开脓肿、冲洗积液、合理应用抗生素及支持治疗对食管异物致食管穿孔有效。单纯保守治疗所需时间相对较长。
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