Ng Peter
Mid Cheshire NHS Trust, Crewe, UK.
BMJ Case Rep. 2013 Feb 20;2013:bcr-2013-008849. doi: 10.1136/bcr-2013-008849.
Boerhaave's syndrome is a rare but life-threatening condition characterised by spontaneous rupture of the oesophagus. Owing to its rarity, it is often not thought about as a cause for chest pain and is often admitted under a medical ward. This can lead to a delayed diagnosis with unfavourable outcomes. A 93-year-old female presented with severe atypical chest pain that was difficult to control. Her initial baseline tests were normal but her condition deteriorated and she desaturated through the night. A repeat chest x-ray showed right basal consolidation and pneumomediastinum. A diagnosis of Boerhaave's syndrome was made. She was unfortunately at this stage critically unwell and continued to deteriorate. She died 17 h after admission.
博赫哈夫综合征是一种罕见但危及生命的疾病，其特征为食管自发性破裂。由于其罕见性，人们通常不会将其视为胸痛的病因，患者常被收治在内科病房。这可能导致诊断延迟，预后不佳。一名93岁女性因严重的非典型胸痛就诊，疼痛难以控制。她最初的基线检查正常，但病情恶化，夜间出现血氧饱和度下降。复查胸部X线显示右肺底部实变和气纵隔。诊断为博赫哈夫综合征。不幸的是，在这个阶段她病情危急，且持续恶化。入院17小时后死亡。
