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多发伤情况下的钝性食管损伤:一例报告。

Blunt esophageal injury in the setting of multitrauma: A case report.

作者信息

Ngoc Trung Nguyen, Hang Dinh Thu, Hanh Le My, Anh Nguyen-Thi Hai, Hung Nguyen Duy, Minh Duc Nguyen

机构信息

Department of Radiology, Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.

Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam.

出版信息

Radiol Case Rep. 2024 Jun 18;19(9):3776-3781. doi: 10.1016/j.radcr.2024.05.067. eCollection 2024 Sep.

DOI:10.1016/j.radcr.2024.05.067
PMID:38983282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11231502/
Abstract

Blunt esophageal injury is an unusual organ injury that has unclear clinical symptoms due to the overlap of thoracoabdominal trauma in the setting of multiple traumas. The treatment options vary depending on the patient's clinical symptoms, the extent of esophageal damage, and the time from the onset of damage to diagnosis. This article presents a case of a young male patient receiving emergency treatment after a traffic accident. Esophageal perforation was diagnosed through chest computed tomography with contrast injection and oral contrast. The article focuses on imaging characteristics and suggestive signs of blunt esophageal injury in the setting of multitrauma.

摘要

钝性食管损伤是一种不常见的器官损伤,由于在多发伤情况下胸腹部创伤的重叠,其临床症状不明确。治疗方案因患者的临床症状、食管损伤程度以及从损伤发生到诊断的时间而异。本文介绍了一名年轻男性患者在交通事故后接受紧急治疗的病例。通过胸部增强计算机断层扫描和口服造影剂诊断为食管穿孔。本文重点关注多发伤情况下钝性食管损伤的影像学特征和提示性征象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d72/11231502/5535f810615c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d72/11231502/fe4e31161cb2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d72/11231502/030fcef4949d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d72/11231502/d639ecdb81ee/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d72/11231502/5535f810615c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d72/11231502/fe4e31161cb2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d72/11231502/030fcef4949d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d72/11231502/d639ecdb81ee/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d72/11231502/5535f810615c/gr4.jpg

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本文引用的文献

1
Blunt thoracic trauma: role of chest radiography and comparison with CT - findings and literature review.钝性胸部创伤:胸部 X 线摄影的作用及与 CT 的比较——表现、文献复习。
Emerg Radiol. 2022 Aug;29(4):743-755. doi: 10.1007/s10140-022-02061-1. Epub 2022 May 21.
2
Blunt Traumatic Esophageal Injury: Decreased Mortality With Urgent Repair.钝性食管创伤:紧急修复可降低死亡率。
Am Surg. 2022 Sep;88(9):2212-2214. doi: 10.1177/00031348221091947. Epub 2022 Apr 23.
3
CT Esophagography for Evaluation of Esophageal Perforation.用于评估食管穿孔的CT食管造影术
Radiographics. 2021 Mar-Apr;41(2):447-461. doi: 10.1148/rg.2021200132. Epub 2021 Feb 12.
4
Esophageal emergencies: WSES guidelines.食管急症:WSES 指南。
World J Emerg Surg. 2019 May 31;14:26. doi: 10.1186/s13017-019-0245-2. eCollection 2019.
5
Management of traumatic esophageal injuries.创伤性食管损伤的管理
J Thorac Dis. 2019 Feb;11(Suppl 2):S172-S176. doi: 10.21037/jtd.2018.10.86.
6
Western Trauma Association Critical Decisions in Trauma: Diagnosis and management of esophageal injuries.西方创伤协会创伤关键决策:食管损伤的诊断与管理
J Trauma Acute Care Surg. 2015 Dec;79(6):1089-95. doi: 10.1097/TA.0000000000000772.
7
Blunt trauma patient with esophageal perforation.钝性创伤致食管穿孔患者。
West J Emerg Med. 2014 Sep;15(6):659-62. doi: 10.5811/westjem.2013.12.20792.
8
Penetrating oesophageal injury: a contemporary analysis of the National Trauma Data Bank.穿透性食管损伤:国家创伤数据库的当代分析。
Injury. 2013 Jan;44(1):48-55. doi: 10.1016/j.injury.2011.11.015. Epub 2011 Dec 29.
9
Evolving management strategies in esophageal perforation: surgeons using nonoperative techniques to improve outcomes.食管穿孔的治疗策略演变:外科医生采用非手术技术改善治疗效果。
J Am Coll Surg. 2011 Jul;213(1):164-71; discussion 171-2. doi: 10.1016/j.jamcollsurg.2011.01.059. Epub 2011 Mar 23.
10
Current management of esophageal perforation: 20 years experience.食管穿孔的当前管理:20年经验
Dis Esophagus. 2009;22(4):374-80. doi: 10.1111/j.1442-2050.2008.00918.x. Epub 2009 Jan 9.