White Sarah
Department of Geriatric Medicine, Bristol Royal Infirmary, University Hospitals Bristol, Bristol, UK.
BMJ Case Rep. 2012 Aug 2;2012:bcr2012006539. doi: 10.1136/bcr-2012-006539.
A physiologically fit 91-year-old gentleman presented with sudden onset chest pain, breathlessness and cardiovascular compromise associated with vomiting. He was treated for renal colic, community-acquired pneumonia and pulmonary embolism before a formal diagnosis of Boerhaave's syndrome was made. The patient was prepared for emergency surgery, unfortunately his condition deteriorated rapidly and he was subsequently managed conservatively. He died 2 days later. Diagnosis and treatment of Boerhaave's syndrome are often delayed. Treatment options for Boerhaave's syndrome include conservative measures, endoscopic interventions and surgery. Chest pain is a common presentation on the acute medical take. Boerhaave's syndrome is a rare cause of chest pain, which may mimic other conditions but should not be missed due a high death rate.
一位生理状况良好的91岁男性，出现突发胸痛、呼吸困难及伴有呕吐的心血管功能障碍。在正式诊断为Boerhaave综合征之前，他曾接受过肾绞痛、社区获得性肺炎和肺栓塞的治疗。患者已准备好接受急诊手术，不幸的是，他的病情迅速恶化，随后接受了保守治疗。他在2天半后死亡。Boerhaave综合征的诊断和治疗常常被延误。Boerhaave综合征的治疗选择包括保守治疗、内镜干预和手术。胸痛是急性内科接诊中常见的表现。Boerhaave综合征是胸痛的一种罕见病因，它可能类似其他病症，但因其高死亡率而不应被漏诊。
