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创伤性食管损伤的管理

Management of esophageal injuries secondary to trauma.

作者信息

Petrone Patrizio, Kassimi Kawthar, Jiménez-Gómez Marta, Betancourt Alejandro, Axelrad Alexander, Marini Corrado P

机构信息

Division of Trauma Surgery, Surgical Critical Care and Acute Care Surgery, Department of Surgery, NYU Winthrop Hospital, Mineola, New York, United States; PhD Candidate, Universidad de Las Palmas de Gran Canaria, Spain.

Division of Trauma Surgery, Surgical Critical Care and Acute Care Surgery, Department of Surgery, NYU Winthrop Hospital, Mineola, New York, United States.

出版信息

Injury. 2017 Aug;48(8):1735-1742. doi: 10.1016/j.injury.2017.06.012. Epub 2017 Jun 19.

Abstract

Traumatic esophageal injuries occur less than 10% of the time in the setting of blunt or penetrating trauma. The purpose of this literature review is to provide an update on the most recent changes involving the diagnosis and treatment of esophageal injuries. A literature search was conducted using PubMed, to identify articles written in English language with the terms "non- iatrogenic", "esophageal", "trauma", "diagnosis", "management", and "prognosis". Case reports and articles involving non-traumatic esophageal perforations were excluded. Fifty pertinent articles in English language from 1947 to 2015 were selected for review. Based on the review of all articles, we designed a diagnostic and therapeutic algorithm to facilitate the diagnosis and management of the traumatic esophageal injury.

摘要

在钝性或穿透性创伤中,创伤性食管损伤的发生率不到10%。本文献综述的目的是提供有关食管损伤诊断和治疗方面最新变化的最新信息。使用PubMed进行文献检索,以识别用英文撰写的、包含“非医源性”“食管”“创伤”“诊断”“管理”和“预后”等术语的文章。排除了病例报告和涉及非创伤性食管穿孔的文章。从1947年至2015年,选取了50篇相关的英文文章进行综述。基于对所有文章的综述,我们设计了一种诊断和治疗算法,以促进创伤性食管损伤的诊断和管理。

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