Tavill M A, Trimmer W R, Austin M B
Children's Hospital of Philadelphia, PA, USA.
Int J Pediatr Otorhinolaryngol. 1996 May;35(3):263-9. doi: 10.1016/0165-5876(95)01302-4.
Cervical esophageal perforation secondary to blunt trauma is extremely rare. A case of an 8-week-old infant that sustained a cervical esophageal perforation from abusive acceleration/deceleration blunt trauma is presented. Early diagnosis and appropriate intervention of an already insidious injury can be further delayed by the lack of concise temporal events and falsification of data from the abusive caretaker(s). In-depth history taking, documentation and notification of authorities lays the critical medicolegal groundwork for this unfortunately increasing problem in our society. Diagnosis and management are discussed. The pediatrician, emergency department, nursing staff and otolaryngologist should have strong suspicions of abuse when esophageal perforation is identified in an infant.
钝性创伤继发的颈段食管穿孔极为罕见。本文报告一例8周龄婴儿因虐待性加速/减速钝性创伤导致颈段食管穿孔的病例。由于缺乏简明的时间事件以及虐待性看护者提供的虚假数据，本就隐匿的损伤的早期诊断和适当干预可能会进一步延迟。深入的病史采集、记录以及向当局报告为我们社会中这个不幸日益增多的问题奠定了关键的法医学基础。本文讨论了诊断和处理方法。当在婴儿中发现食管穿孔时，儿科医生、急诊科、护理人员和耳鼻喉科医生应高度怀疑存在虐待行为。
