钝性创伤后胸段食管远端破裂：病例报告

Rupture of the distal thoracic esophagus following blunt trauma: case report.

作者信息

Micon L, Geis L, Siderys H, Stevens L, Rodman G H

机构信息

Trauma Surgery Service, Methodist Hospital of Indiana, Indianapolis 46206.

出版信息

J Trauma. 1990 Feb;30(2):214-7. doi: 10.1097/00005373-199002000-00015.

DOI:10.1097/00005373-199002000-00015

PMID:2304118

Abstract

Rupture of the distal thoracic esophagus is an unusual injury following blunt abdominal trauma. We recently encountered this injury in a patient following a relatively minor motor vehicle accident. An improperly positioned seatbelt was presumed contributory in this case. Prevention of further contamination and drainage of infection are primary objectives. Wide mediastinal drainage with repair, resection, or diversion are recommended, depending on the degree of mediastinitis present.

摘要

胸段食管远端破裂是钝性腹部创伤后一种不常见的损伤。我们最近在一名患者身上遇到了这种损伤，该患者发生了一起相对轻微的机动车事故。推测在这种情况下，安全带位置不当起到了促成作用。防止进一步污染和引流感染是主要目标。根据纵隔炎的程度，建议进行广泛的纵隔引流并进行修复、切除或改道。