Hansen C P, Bertelsen S
Department of Thoracic Surgery, Bispebjerg Hospital, University of Copenhagen, Denmark.
Ann Chir Gynaecol. 1988;77(4):138-41.
A review of nine patients with spontaneous rupture of the oesophagus is presented. All patients had mediastinal or pleural air or fluid on x-ray, but a diagnostic error was made in five of them leading to postponed treatment and a fatal outcome from mediastinitis. Of the remaining four patients two recovered and left hospital while another two died of vascular and respiratory complications. Clinical signs and treatment are discussed and early diagnosis emphasized in order to reduce the high mortality.
本文报告了9例食管自发性破裂患者的情况。所有患者X线检查均显示纵隔或胸腔有气体或液体，但其中5例出现诊断错误，导致治疗延误，最终因纵隔炎死亡。其余4例患者中，2例康复出院，另外2例死于血管和呼吸并发症。文中讨论了临床症状和治疗方法，并强调早期诊断以降低高死亡率。
