Bjerke H S
Department of Surgery, University of Nevada School of Medicine, Las Vegas.
Chest Surg Clin N Am. 1994 Nov;4(4):819-25.
Herman Boerhaave clearly elucidated the pathology of barogenic esophageal perforation during the 18th century by describing the sad and fatal case of Baron John von Wassenauer. Although the science of the time had no treatment and surgery was considered a fool's venture, Boerhaave's description has stood the test of time and set the stage for modern surgical repair and treatment. The expeditious diagnosis, aggressive early repair, and vigilant attention to drainage of esophageal perforations in the 20th century all reduce the morbidity and are essential steps to obtaining the best outcome. Today, survival of barogenic esophageal perforation requires the surgeon to have the clarity of Boerhaave's observation of symptoms and to make use of modern surgical techniques to assure the patient's recovery from Boerhaave's syndrome.
18世纪时，赫尔曼·布尔哈夫通过描述约翰·冯·瓦森纳男爵悲伤且致命的病例，清晰地阐明了气压性食管穿孔的病理学。尽管当时的科学尚无治疗方法，且手术被认为是鲁莽之举，但布尔哈夫的描述经受住了时间的考验，为现代手术修复和治疗奠定了基础。20世纪对食管穿孔的快速诊断、积极的早期修复以及对引流的密切关注，均降低了发病率，是取得最佳治疗效果的关键步骤。如今，气压性食管穿孔患者若要存活，外科医生需具备布尔哈夫对症状观察的敏锐度，并运用现代手术技术确保患者从布尔哈夫综合征中康复。
