Miller H A, Taylor G A
Can J Surg. 1975 Jan;18(1):41-6.
Among fourteen patients with disruption of the thoracic esophagus, the overall mortality rate was 36%. The mortality was greatly reduced in a group of five of these patients who were treated by closed-chest tube drainage and intravenous hyperalimentation. The cause of death in most cases was sepsis and malnutrition. Although the ideal treatment in early cases of eosphageal disruption is thoracotomy and direct suture, it is believed that in patients presenting late, in old and debilitated patients, and in cases of a leaking thoracic anastomosis, the mortality will be greatly improved by the use, primarily, of conservative measures,, with the addition of intravenous hyperlimentation.
在14例胸段食管破裂患者中，总死亡率为36%。其中5例接受闭式胸腔引流和静脉高营养治疗的患者死亡率大幅降低。大多数病例的死亡原因是败血症和营养不良。虽然食管破裂早期病例的理想治疗方法是开胸手术和直接缝合，但据信，对于就诊较晚的患者、老年体弱患者以及胸段吻合口漏的病例，主要采用保守措施并加用静脉高营养，死亡率将大大降低。
