Amar A, Elisabeth L, Chapel N, De Thore J, Valyi L, Egarnes M, Hillion G
Service de Chirurgie 1, Hôpital Pierre Zobda-Quitman, C.H.R. de Fort-de-France, Martinique.
J Chir (Paris). 1995 May;132(5):254-8.
Spontaneous rupture of the oesophagus is uncommon and is difficult to diagnose in the early stage. Clinical signs are lacking or incomplete, causing a delay in diagnosis and therapy which requires both intensive medical care and surgery. The surgical procedure depends on the time lapse to diagnosis. We report a case diagnosed 16 days after rupture in which directed fistulization led to complete healing.
食管自发性破裂并不常见,且早期难以诊断。临床症状缺乏或不完整,导致诊断和治疗延迟,而这需要重症医疗护理和手术。手术方式取决于距诊断的时间间隔。我们报告一例在破裂16天后确诊的病例,通过定向造瘘实现了完全愈合。