Montresor E, Abrescia F, Bertrand C, Delaini G G, Fichera M, Carolo F, Iacono C, Puchetti V
Università degli Studi di Verona, Istituto di Clinica Chirurgica Generale Terapia Chirurgica.
Chir Ital. 1988 Jun;40(3):207-18.
The authors describe the case of a 67-year-old patient with spontaneous rupture of the middle third of the oesophagus, occurring apparently without any involvement of intraluminal hypertension. The surgical treatment consisted in the execution of an aspiration drainage of the left pleural cavity, followed by a right thoracotomy with exploration of the mediastinum. A gastrostomy according to Witzel was also performed. Total parenteral nutrition was instituted in the post-operative period. Healing of the oesophageal lesion was confirmed radiologically 2 months after admission to our department.
作者描述了一例67岁患者，其食管中三分之一处自发破裂，显然未伴有腔内高压。手术治疗包括对左胸腔进行穿刺引流，随后进行右胸切开术并探查纵隔。还实施了维泽尔胃造口术。术后采用了全胃肠外营养。患者入院2个月后经放射学检查证实食管病变已愈合。
