van der Zee D C, Slooff M J, Kingma L M
Neth J Surg. 1986 Apr;38(2):31-5.
The results of treatment of 20 oesophageal perforations were retrospectively studied in 19 consecutive patients. Most complications occurred after endoscopic procedures, after a delay in treatment of more than 12 hours, in patients with intrinsic oesophageal disease and in cases where only drainage procedures were possible. Because of the many factors that influence the outcome of the treatment of oesophageal perforation it is stressed that the therapeutic approach should not be dogmatic, but tailored to the individual patient. Although morbidity is still high, mortality has markedly decreased by this differentiated approach, the only death not being directly related to the perforation. Early recognition remains the most important factor in the prognosis of patients with oesophageal perforation.
对19例连续患者的20例食管穿孔治疗结果进行了回顾性研究。大多数并发症发生在内镜检查后、治疗延迟超过12小时、患有食管固有疾病的患者以及仅可行引流手术的病例中。由于影响食管穿孔治疗结果的因素众多，强调治疗方法不应教条，而应根据个体患者进行调整。尽管发病率仍然很高，但通过这种差异化方法死亡率已显著降低，唯一的死亡与穿孔没有直接关系。早期识别仍然是食管穿孔患者预后的最重要因素。
