Kincaid Kyle, Ramirez Elda G
The University of Texas Health Science Center at Houston School of Nursing, 77030, USA.
Crit Care Nurs Q. 2012 Apr-Jun;35(2):196-202. doi: 10.1097/CNQ.0b013e31824564a7.
Boerhaave syndrome is a rarely occurring condition with a high mortality rate if not diagnosed in a timely manner. Patients with this condition complain primarily of chest pain, and practitioners should consider esophageal rupture as a differential diagnosis during the initial diagnostic evaluation. Most treatment modalities have been derived from case studies, as there are no published reports on randomized controlled trials specifically dedicated to the treatment of Boerhaave syndrome. This case presentation includes the pathophysiology of esophageal rupture and the management pathways that have been shown to be successful based on current literature.
博雷尔哈夫综合征是一种罕见疾病,若不及时诊断,死亡率很高。患有这种疾病的患者主要诉说胸痛,从业者在初始诊断评估期间应将食管破裂作为鉴别诊断考虑。大多数治疗方式都来自病例研究,因为没有专门针对博雷尔哈夫综合征治疗的随机对照试验的发表报告。本病例报告包括食管破裂的病理生理学以及基于当前文献已被证明成功的管理途径。