Janssen C W
Scand J Thorac Cardiovasc Surg. 1976;10(2):189-92. doi: 10.3109/14017437609167791.
A series of 19 patients with perforation of the intrathoracic oesophagus is presented. Recent perforations were treated by primary suture. All these patients survived, although the suture did not hold in all cases. Old perforations, together with recent ones that leaked after suturing, were treated by drainage and gastrostomy. Two of these patients died; they were the only patients in whom the first attempt at drainage was unsatisfactory and thus had to be revised. The treatment of oesophageal perforations seems to be in accordance with the long-established principles of treatment of other gastro-intestinal and genito-urinary fistulas: firstly to restrict primary suturing to non-inflammatory tissue, and secondly to apply the principles of secondary healing by means of decompression and drainage.
本文报告了19例胸段食管穿孔患者。近期穿孔采用一期缝合治疗。所有这些患者均存活，尽管并非所有病例的缝合都成功。陈旧性穿孔以及缝合后仍有渗漏的近期穿孔，采用引流和胃造瘘术治疗。其中两名患者死亡；他们是仅有的首次引流效果不佳因而必须进行修正的患者。食管穿孔的治疗似乎符合长期以来治疗其他胃肠道和泌尿生殖瘘的原则：首先，将一期缝合限制在非炎症组织；其次，通过减压和引流应用二期愈合原则。
