LoCicero J, Vanecko R M
Ann Thorac Surg. 1985 Oct;40(4):396-7. doi: 10.1016/s0003-4975(10)60077-x.
Spontaneous rupture of the esophagus (Boerhaave's syndrome) has a dismal survival rate without prompt surgical management. A variety of surgical regimens have achieved survival of 70% or greater; however, the postoperative course is frequently complicated by fistula, would infection, empyema, and sepsis. We report an unusual postoperative chest wound infection of clostridial myonecrosis, which presumably originated from the patient's gastric microflora. He was treated with immediate surgical debridement of all involved tissue, prolonged ventilation, total parenteral nutrition, and frequent dressing changes. The remaining defect was closed with a skin graft. Anaerobic wound infections of the chest wall and their management are discussed.
食管自发性破裂（博勒哈夫综合征）若不及时进行手术治疗，生存率极低。多种手术方案已使生存率达到70%或更高；然而，术后病程常并发瘘管、伤口感染、脓胸和败血症。我们报告一例罕见的术后梭菌性肌坏死胸部伤口感染，推测其源于患者的胃微生物群。对其进行了立即手术清创所有受累组织、延长通气时间、全胃肠外营养及频繁更换敷料的治疗。剩余缺损用皮肤移植修复。本文讨论了胸壁厌氧菌伤口感染及其处理。
