Andrási Katinka, Stankovics Péter, Kecskés László
1 Markusovszky Egyetemi Oktatókórház, Mellkassebészeti Osztály Szombathely, Vörösmarty M. u. 26., 9700 Magyarország.
Orv Hetil. 2023 Oct 29;164(43):1719-1724. doi: 10.1556/650.2023.32859.
Traumatic esophageal injuries are extremely rare and challenging both from a diagnostic and therapeutic point of view. As regards one of their patients, the authors review the etiology and the pathophysiology of esophageal perforations. They present the case of a 36-year-old patient with a penetrating chest trauma. During an acute surgery, the foreign body was removed from the mediastinum, but in the early postoperative period, an oesophageal rupture was recognized. After conservative management, the patient was discharged from the hospital without any complications 82 days after the injury. Considering that the traumatic esophageal rupture is rare and the mortality of these patients is very high, it is important to make a good decision in time. The authors would like to highlight that even in the case of severe penetrating esophageal injury, the right therapeutical decision can lead to complete recovery. Orv Hetil. 2023; 164(43): 1719-1724.
创伤性食管损伤极为罕见，无论从诊断还是治疗角度来看都颇具挑战性。关于他们的一位患者，作者回顾了食管穿孔的病因及病理生理学。他们介绍了一名36岁胸部穿透伤患者的病例。在急诊手术中，异物从纵隔取出，但术后早期发现食管破裂。经过保守治疗，患者在受伤82天后出院，无任何并发症。鉴于创伤性食管破裂罕见且这些患者的死亡率很高，及时做出正确决策很重要。作者想强调的是，即使在严重穿透性食管损伤的情况下，正确的治疗决策也可导致完全康复。《匈牙利医学周报》。2023年；164(43): 1719 - 1724。
