食管破裂与穿孔：保守支持治疗的情况

Ruptures and perforations of the esophagus: the case for conservative supportive management.

作者信息

Lyons W S, Seremetis M G, deGuzman V C, Peabody J W

出版信息

Ann Thorac Surg. 1978 Apr;25(4):346-50. doi: 10.1016/s0003-4975(10)63554-0.

Abstract

A series of 31 patients treated for ruptures and perforations of the intrathoracic esophagus is reviewed. Eighteen of these patients underwent major thoracotomy; 11 were treated with minor procedures. Two died before treatment could be implemented. Of the 18 undergoing major operations, 7 died; among the 11 managed conservatively there was only 1 death. Based on this experience, we conclude that major surgical repair for esophageal perforation is often unnecessary. It has the additional drawback of sometimes resulting in equally serious secondary procedures.

摘要

回顾了一组31例接受胸段食管破裂和穿孔治疗的患者。其中18例患者接受了开胸大手术；11例采用小手术治疗。2例在实施治疗前死亡。在接受大手术的18例患者中，7例死亡；在11例采取保守治疗的患者中，仅1例死亡。基于这一经验，我们得出结论，食管穿孔的开胸大手术修复往往没有必要。它还有一个额外的缺点，即有时会导致同样严重的二次手术。