Omura Takeshi, Asieri Mohammed, Bischof Kirsten, Rambarran Sharan, Moeng Maeyane Stephens
Surgery Department, Tokushima Prefectural Central Hospital, Kuramotocho, 1-10-3, Tokushima-city, Tokushima, Japan.
Trauma Unit, Department of Surgery, Charlotte Maxeke Johannesburg Academic Hospital, 17 Jubilee Road, Parktown, Johannesburg, Gauteng, South Africa.
Trauma Case Rep. 2017 Nov 7;12:45-47. doi: 10.1016/j.tcr.2017.10.018. eCollection 2017 Dec.
Thoracic oesophageal gunshot injuries are uncommon, and the morbidity and mortality rates are extremely high and depend on the elapsed time, injury severity, and concomitant organ damage. Thus, early diagnosis is paramount to avoid delays, which in turn confer poorer outcomes. Current management strategies are still controversial and depend on the patient's physiologic state. We experienced two cases of thoracic oesophageal gunshot injury, both of whom were treated by primary repair and were successfully discharged. Decision-making strategies should be based on the patient's physiologic reserve, experience of the attending surgical team, and ancillary services available at the facility.
胸段食管枪伤并不常见，其发病率和死亡率极高，且取决于受伤时间、损伤严重程度以及是否伴有其他器官损伤。因此，早期诊断对于避免延误至关重要，而延误往往会导致更差的治疗结果。目前的治疗策略仍存在争议，并且取决于患者的生理状态。我们遇到了两例胸段食管枪伤病例，这两名患者均接受了一期修复手术，并成功出院。决策策略应基于患者的生理储备、主刀手术团队的经验以及医院可提供的辅助服务。
