Goretzki P E, Horstmann O, Verreet P R, Röhr H D
Clinique de Chirurgie Générale et Traumatologique, Heinrich-Heine-Universität Düsseldorf.
J Chir (Paris). 1994 Oct;131(10):440-4.
Spontaneous and iatrogenic esophageal perforations continue to present life threatening gastroenterologic emergencies. The results in 17 patients being treated between 1986 and 1992 are presented. In respect to localisation of the perforation, the underlying nature of the disease and the condition of the patient an early suture and wrap in all patients with benign diseases and an early esophagectomy in patients with esophageal cancer was aspired. 11 patients having been treated this way survived whereas 3 of six patients with extensive tumour burden and reduced physical state who had been treated conservatively died during the hospital stay. Thus early diagnosis and operative treatment of esophageal perforations improves patients outcome significantly.
自发性和医源性食管穿孔仍然是危及生命的胃肠急症。本文呈现了1986年至1992年间接受治疗的17例患者的结果。就穿孔的定位、潜在疾病性质和患者状况而言，期望对所有良性疾病患者进行早期缝合和包绕，对食管癌患者进行早期食管切除术。以这种方式治疗的11例患者存活，而6例肿瘤负荷广泛且身体状况较差、接受保守治疗的患者中有3例在住院期间死亡。因此，食管穿孔的早期诊断和手术治疗可显著改善患者的预后。
