Sudarshan Monisha, Cassivi Stephen D
Division of Thoracic Surgery, Mayo Clinic, Rochester, MN, USA.
J Thorac Dis. 2019 Feb;11(Suppl 2):S172-S176. doi: 10.21037/jtd.2018.10.86.
Traumatic esophageal perforations are rare but difficult to treat injuries. We review the principles of work-up, anatomy and treatment of cervical, thoracic and abdominal traumatic esophageal perforations. Management is dictated by location of the perforation and any concurrent injuries. The majority of cases are amenable to primary repair with flap re-enforcement. Other principles include adequate drainage around the repair, decompression of the esophagus and stomach (via nasogastric tube or gastrostomy tube) and distal enteral nutrition (feeding jejunostomy).
创伤性食管穿孔虽罕见，但属于难以治疗的损伤。我们回顾了颈部、胸部和腹部创伤性食管穿孔的检查原则、解剖结构及治疗方法。治疗方案取决于穿孔的位置以及任何并发损伤。大多数病例适合采用带蒂组织瓣加固的一期修复。其他原则包括在修复部位周围进行充分引流、食管和胃减压（通过鼻胃管或胃造瘘管）以及远端肠内营养（空肠造口喂养）。
