鱼刺致食管穿孔合并纵隔炎的成功保守治疗

Successful conservative treatment for esophageal perforation by a fish bone associated with mediastinitis.

作者信息

Nozoe T, Kitamura M, Adachi Y, Funahashi S, Yoh R, Iso Y, Matsumata T, Sugimachi K

机构信息

Department of Gastroenterology and Surgery, Saiseikai Yahata General Hospital, Kitakyushu City, Japan.

出版信息

Hepatogastroenterology. 1998 Nov-Dec;45(24):2190-2.

PMID:9951892

Abstract

A 74 year-old man presenting with esophageal perforation associated with mediastinitis due to the swallowing of a fish bone is reported herein. Conservative treatment, including starvation therapy and the injection of antibiotic drugs, proved to be successful for this patient. Although the optimal treatment for esophageal perforation remains controversial, it is important to choose the appropriate strategies when treating cases of esophageal perforation with mediastinitis.

摘要

本文报道了一名74岁男性，因吞食鱼骨导致食管穿孔并伴有纵隔炎。保守治疗，包括饥饿疗法和注射抗生素药物，被证明对该患者有效。尽管食管穿孔的最佳治疗方法仍存在争议，但在治疗伴有纵隔炎的食管穿孔病例时，选择合适的治疗策略很重要。