O'Neal J F
Department of Medicine, Robert C. Byrd Health Sciences Center, West Virginia University, Charleston.
W V Med J. 1994 Nov;90(11):475-6.
Both spontaneous esophageal perforations (Boerhaave syndrome) and duodenal ulcer perforations are medical emergencies. Spontaneous esophageal perforation (SEP) is the most serious and rapidly lethal perforation of the gastrointestinal tract. Prompt diagnosis and early therapy is needed to prevent death and prolonged serious illness, and the key to the diagnosis is an awareness of its frequent atypical presentations. This article presents a case report of SEP and duodenal ulcer perforation which caused a right-sided subpulmonic abscess and reviews the literature pertaining to this subject.
自发性食管穿孔（Boerhaave综合征）和十二指肠溃疡穿孔均属医疗急症。自发性食管穿孔（SEP）是胃肠道最严重且致死迅速的穿孔。需及时诊断并尽早治疗，以防止死亡和长期重病，而诊断的关键在于认识到其常见的非典型表现。本文呈现了一例导致右肺下脓肿的SEP和十二指肠溃疡穿孔的病例报告，并回顾了与此主题相关的文献。
