Krzeski A, Zawadowski J, Niemczyk K
Katedry i Kliniki Otolaryngołogii Ak. Med., Warszawie.
Wiad Lek. 1995 Jan-Jun;48(1-12):40-3.
A total of 213 patients with a foreign body in the oesophagus was treated in our unit between 1980-1990. Most of the foreign bodies were impacted in the cervical oesophagus. Oesophagoscopy were carried out under general anaesthesia in all cases. iatrogenic perforation of oesophagus was encountered in ten cases. Our results suggest that most instrumental perforation of the esophagus should be managed surgically. Drainage and closure of cervical perforations yields good results. Nonoperative management night be entertained in minimally symptomatic patients harboring a late, locally contained perforation without signs of ongoing sepsis.
1980年至1990年间，我们科室共治疗了213例食管异物患者。大多数异物嵌顿在颈段食管。所有病例均在全身麻醉下进行食管镜检查。10例发生了医源性食管穿孔。我们的结果表明，大多数食管器械穿孔应采用手术治疗。颈段穿孔的引流和闭合效果良好。对于症状轻微、穿孔较晚且局限于局部、无持续脓毒症迹象的患者，可考虑非手术治疗。
