Guarnieri A, Neri A, Savelli V, Ruggieri G, Mariottini G, Collini A, Nepi S, Carli A
Istituto Policattedra di Scienze Chirurgiche, Università degli Studi di Siena.
G Chir. 1995 Apr;16(4):181-3.
The Authors report a case of cervical esophageal perforation from foreign body. Comparing their experience with data from literature, they point out the diagnostic importance of both X-ray studies, in order to demonstrate the site of the lesion, and CT scans, to have accurate information on perilesional infective complications (abscesses). Early surgical treatment, with primary closure of perforation and adequate drainage, associated with antibiotics and enteral or total parenteral nutrition, allows good results in most cases.
作者报告了一例因异物导致的颈段食管穿孔病例。通过将他们的经验与文献数据进行比较，他们指出X线检查对于显示病变部位的诊断重要性，以及CT扫描对于获取有关病变周围感染性并发症（脓肿）准确信息的重要性。早期手术治疗，包括穿孔的一期缝合和充分引流，并联合使用抗生素以及肠内或全胃肠外营养，在大多数情况下可取得良好效果。
