Hossain S M Noor, de Caestecker John
University Hospitals of Leicester, Leicester, UK.
University Hospitals of Leicester, Leicester, UK
Clin Med (Lond). 2015 Oct;15(5):477-81. doi: 10.7861/clinmedicine.15-5-477.
Acute oesophageal symptoms include acute dysphagia or food bolus impaction (most commonly due to strictures, Schatzki ring and eosinophilic oesophagitis), acute chest pain with odynophagia due to oesophageal infections, motility disorders and acute oesophageal rupture (of which oesophageal intramural haematoma is a subtype). Acute full thickness oesophageal rupture carries a high mortality if not recognised early; the clinical features and conditions with which this may be confused are presented and discussed.
急性食管症状包括急性吞咽困难或食物团块嵌塞(最常见于狭窄、沙茨基环和嗜酸性粒细胞性食管炎)、因食管感染、动力障碍和急性食管破裂(食管壁内血肿是其亚型)导致的伴有吞咽痛的急性胸痛。急性全层食管破裂若不及早识别,死亡率很高;本文介绍并讨论了其可能混淆的临床特征和情况。