Duchatelle J P, Parrot A M, Parmentier G, Andreassian B
J Chir (Paris). 1980 Jun-Jul;117(6-7):365-8.
The authors report 16 cases of cervical esophagus injuries. In two patients, they followed a closed injury to the neck, in six cases, wounds from firearms or other weapons. In five cases, tracheal intubation, and in three cases, perforations of various origins. All patients required operative treatment, and in six cases surgery was performed between the 3rd and 25th day following the injury. Only one of the 8 patients operated upon within 12 hours following injury developed cervicomediastinal complications, while seven of the 8 cases operated upon after this period developed mediastinitis or a fistula. Radiological examination with an opaque medium and urgent operation combining drainage and suture are essential when injury to the esophagus is suspected, in order to obtain early diagnosis and good results.
作者报告了16例颈段食管损伤病例。其中2例患者颈部有闭合性损伤，6例为火器或其他武器所致伤口。5例因气管插管，3例为各种原因导致的穿孔。所有患者均需手术治疗，其中6例在受伤后第3天至第25天进行了手术。受伤后12小时内接受手术的8例患者中只有1例出现颈纵隔并发症，而在此之后接受手术的8例患者中有7例发生纵隔炎或瘘管。当怀疑有食管损伤时，使用不透光介质进行放射学检查以及结合引流和缝合的紧急手术对于早期诊断和取得良好疗效至关重要。
