Sachweh D, Hoffmann D
Aktuelle Traumatol. 1979 Oct;9(5):299-304.
The article reports on a 21-year old patient admitted on an in-patient basis after compressed air injury with a severe open craniocerebral lesion, and in whom the diagnosis of rupture of the oesophagus was made two weeks later only. Late surgical management by means of oesophagus suture and sealing of the diaphragm, was successful. The article discusses the symptoms and possibilities of treatment of traumatic rupture of the oesophagus, basing on the present case, and surgical treatment is advocated even if the 48-hour limit has been exceeded.
本文报道了一名21岁患者,因压缩空气致伤导致严重开放性颅脑损伤而住院,两周后才诊断出食管破裂。通过食管缝合和膈肌封闭进行的后期手术治疗取得了成功。本文基于该病例讨论了食管创伤性破裂的症状和治疗可能性,主张即使超过了48小时的时限也应进行手术治疗。