Daya H, Wijetunge D
Accident and Emergency Department, St George's Hospital, Tooting.
Arch Emerg Med. 1993 Dec;10(4):310-3. doi: 10.1136/emj.10.4.310.
A case of spontaneous oesophageal rupture following vomiting, secondary to a hypoglycaemic episode is reported. The case is of interest in its presentation and physical signs. It reflects the difficulty in diagnosing a condition associated with considerable morbidity and mortality. The importance of recognition of a pattern of symptoms, physical signs and radiographic findings is emphasized.
报告了一例因低血糖发作继发呕吐后自发性食管破裂的病例。该病例在临床表现和体征方面具有一定的特殊性。它反映了诊断这种具有较高发病率和死亡率的疾病的困难。强调了识别症状模式、体征和影像学表现的重要性。