Haffner J F, Fausa O, Røyne T
Acta Chir Scand. 1984;150(5):389-92.
Eight patients with perforation of the oesophagus following forced dilatation because of nonmalignant disease were treated conservatively with antibiotics and parenteral nutrition. None had primary leakage to the pleural cavities. Nasogastric suction was employed in three patients, and one had a feeding gastrostomy prior to perforation. Recovery was uneventful in six cases. A single thoracocentesis was required in one case. In the eighth patient there was leakage to the right pleural cavity with massive pleural effusion after two weeks of treatment and thoracotomy was necessary. All the patients survived. The authors conclude that subcervical oesophageal perforation following forced dilatation because of nonmalignant disease should be managed conservatively when there is no leakage to the pleural or peritoneal cavities.
8例因非恶性疾病行强力扩张术后发生食管穿孔的患者，接受了抗生素及肠外营养保守治疗。无一例出现原发性胸腔漏。3例患者采用了鼻胃管吸引，1例在穿孔前行胃造瘘术。6例患者恢复顺利。1例患者需要进行单次胸腔穿刺。第8例患者在治疗2周后出现右胸腔漏及大量胸腔积液，需行开胸手术。所有患者均存活。作者得出结论，因非恶性疾病行强力扩张术后发生的颈段食管穿孔，在无胸腔或腹腔漏时应采取保守治疗。
