Esophageal Perforation
Esophageal Perforation
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DOI：
10.1016/j.suc.2013.10.003
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发表时间：
2014-02-01
影响因子：
3.1
通讯作者：
Nirula, Raminder
中科院分区：
文献类型：
--
作者：
Nirula, Raminder
食道穿孔并不常见，但具有很高的发病率和死亡率，特别是如果在全身感染症状出现之前没有及早发现损伤。这是一个不常见的问题，它产生的症状可以模仿其他严重的胸部疾病，如心肌梗死，这一事实导致了诊断的延误。有医源性穿孔(食道恶性肿瘤)风险的患者经常合并并发症，增加了围手术期的发病率和死亡率。根据出现的时间、穿孔的程度和潜在的食道病理条件，最佳的食道穿孔治疗方法是不同的。
Esophageal perforation is uncommon but carries a high morbidity and mortality, particularly if the injury is not detected early before the onset of systemic signs of sepsis. The fact that it is an uncommon problem and it produces symptoms that can mimic other serious thoracic conditions, such as myocardial infarction, contributes to the delay in diagnosis. Patients at risk for iatrogenic perforations (esophageal malignancy) frequently have comorbidities that increase their perioperative morbidity and mortality. The optimal treatment of esophageal perforation varies with respect to the time of presentation, the extent of the perforation, and the underlying esophageal pathologic conditions.