Keane Melanie, Gowripalann T, Brodbeck A, Bothma P
Department of Anaesthetics/Intensive Care, James Paget University Hospital, Great Yarmouth, UK.
BMJ Case Rep. 2012 Jun 21;2012:bcr2012006485. doi: 10.1136/bcr-2012-006485.
A man in his 30s presented with a brief episode of vomiting, acute abdominal pain and subsequent development of shortness of breath. On initial examination and investigation, the clinical impression was of a right-sided pneumothorax, pneumonia and pleural effusion. Early antibiotic treatment and management showed a clinical improvement, with the patient reporting resolution of his symptoms. This episode was short lived, with a further deterioration in his condition and worsening of symptoms. Ensuing examination, imaging and investigations demonstrated an oesophageal leak into the right pleural cavity. Following urgent stabilisation measures and insertion of a chest drain, he underwent successful surgical repair. Boerhaave's syndrome is an emergency situation, requiring quick recognition, diagnosis, aggressive treatment and management to optimise a good outcome.
一名30多岁的男性出现了短暂的呕吐、急性腹痛，随后出现呼吸急促。在初步检查和调查时，临床印象是右侧气胸、肺炎和胸腔积液。早期的抗生素治疗和处理显示临床症状有所改善，患者报告症状已缓解。但这一情况持续时间不长，他的病情进一步恶化，症状加重。随后的检查、影像学检查和调查显示有食管漏入右侧胸腔。在采取紧急稳定措施并插入胸腔引流管后，他接受了成功的手术修复。博雷尔哈夫综合征是一种紧急情况，需要快速识别、诊断、积极治疗和处理，以获得良好的治疗效果。
