Kakar Nandita, Smith Harrison C, Shadid Anthony M
Medicine, Nova Southeastern University Dr. Kiran C. Patel College Of Osteopathic Medicine, Fort Lauderdale, USA.
Radiology, University of Illinois at Chicago, Peoria, USA.
Cureus. 2022 May 4;14(5):e24720. doi: 10.7759/cureus.24720. eCollection 2022 May.
Transmural esophageal rupture or Boerhaave syndrome carries a high mortality rate due to delayed diagnosis and treatment. The heterogeneity of symptoms, age, comorbidities, and the severity of illness in this group of patients add to the difficulty of the management of Boerhaave syndrome. It generally occurs in the distal part of the esophagus and may result in the leakage of gastric contents into the thoracic cavity leading to mediastinal necrosis and bacterial infection. The management relies on prompt detection and intervention with conservative care and/or surgical repair. Early recognition within 24 hours followed by primary repair of the esophagus with mediastinal and chest drainage is associated with a 90% survival rate.
全层食管破裂或博赫哈夫综合征由于诊断和治疗延误，死亡率很高。这类患者症状、年龄、合并症以及病情严重程度的异质性增加了博赫哈夫综合征管理的难度。它通常发生在食管远端，可能导致胃内容物漏入胸腔，进而引起纵隔坏死和细菌感染。治疗依赖于及时发现并通过保守治疗和/或手术修复进行干预。24小时内早期识别，随后对食管进行一期修复并进行纵隔和胸腔引流，生存率可达90%。
