[博雷尔哈夫综合征：对我们过去16年经验的回顾]
[Boerhaave's syndrome: a review of our experience over the last 16 years].
作者信息
Granel-Villach L, Fortea-Sanchis C, Martínez-Ramos D, Paiva-Coronel G A, Queralt-Martín R, Villarín-Rodríguez A, Salvador-Sanchis J L
机构信息
Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Castellón, Castellón de la Plana, Castellón, España.
Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Castellón, Castellón de la Plana, Castellón, España.
出版信息
Rev Gastroenterol Mex. 2014 Jan-Mar;79(1):67-70. doi: 10.1016/j.rgmx.2013.11.001. Epub 2014 Mar 20.
OBJECTIVE
Report our experience in the diagnosis and treatment of Boerhaave syndrome by retrospective study from 1997 to 2013.
PATIENTS AND METHODS
A retrospective study was conducted covering the time frame of 1997 to 2013.
RESULTS
There were a total of 5 men (71%) and 2 women (29%) and the mean age was 54 years (range: 33-80 years). Diagnosis was made through computed tomography scan in 5 cases (71%) and esophagogram in 2 cases (19%). Six patients (86%) had emergency surgery, whereas one case (14%) was managed conservatively. The surgical technique employed was primary suture and repair in 4 patients (67%) and esophageal resection and subsequent cervical esophagostomy in 2 patients (33%).
CONCLUSIONS
Boerhaave's syndrome is a clinically rare entity with an elevated mortality rate. Therefore, a high degree of suspicion is necessary for making the diagnosis and providing early treatment that can result in improved outcome.
目的
通过对1997年至2013年的回顾性研究，报告我们在诊断和治疗博雷尔哈夫综合征方面的经验。
患者与方法
进行了一项涵盖1997年至2013年时间范围的回顾性研究。
结果
共有5名男性（71%）和2名女性（29%），平均年龄为54岁（范围：33 - 80岁）。5例（71%）通过计算机断层扫描确诊，2例（19%）通过食管造影确诊。6例患者（86%）接受了急诊手术，而1例（14%）采用保守治疗。所采用的手术技术为4例患者（67%）进行一期缝合修复，2例患者（33%）进行食管切除及随后的颈部食管造口术。
结论
博雷尔哈夫综合征是一种临床罕见疾病，死亡率较高。因此，高度怀疑对于做出诊断并提供能改善预后的早期治疗至关重要。
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