Skinner D B, Little A G, DeMeester T R
Am J Surg. 1980 Jun;139(6):760-4. doi: 10.1016/0002-9610(80)90379-7.
Early diagnosis of esophageal perforation is critical. The importance of performing sufficient surgery at the first procedure whenever possible is emphasized. If early primary closure cannot be achieved, then the initial therapeutic method of choice is resection or diversion followed by reconstruction. Drainage of the perforated esophagus alone does not appear to be satisfactory treatment. Our experience indicates that later elective surgery for the management of patients undergoing successful initial resuscitation from esophageal perforation may be accomplished with an acceptable mortality rate.
食管穿孔的早期诊断至关重要。强调尽可能在首次手术时进行充分手术的重要性。如果无法实现早期一期缝合，那么首选的初始治疗方法是切除或转流，随后进行重建。单纯对穿孔食管进行引流似乎并非令人满意的治疗方法。我们的经验表明，对食管穿孔成功进行初始复苏的患者进行择期手术，其死亡率可能在可接受范围内。
