IMPROVED OPERATION FOR ESOPHAGEAL RUPTURE.
IMPROVED OPERATION FOR ESOPHAGEAL RUPTURE.
复制标题
改进食管破裂手术。
DOI：
10.1001/jama.1964.03060350052018
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发表时间：
1964
期刊：
影响因子：
--
通讯作者：
T. Hatafuku
中科院分区：
文献类型：
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作者：
A. Thal;T. Hatafuku
自发性食管穿孔的危险是，在首次成功一期缝合后16年，1死亡率在34%至50%之间。2此外，发病率相当高，虽然纵隔引流很容易完成，往往可以挽救生命，但炎症食管壁的一期缝合通常会导致缝合线断裂和脓胸。最近，Tuttle和Barrett 3报告了4例远端食管自发性穿孔患者，所有患者在尝试一期缝合时均发生缝线断裂。术语Mallory-Weiss综合征已被用于包括胃食管连接处的粘膜溃疡伴出血和自发性食管穿孔。的确，两者都可能代表同一种疾病的变体。然而，前一种病变最初是由马洛里和韦斯描述的，后者是在世纪由布尔哈夫描述的。此外，完全穿孔需要紧急
THE HAZARDS of spontaneous perforation of the esophagus are such that 16 years after the first successful primary closure, 1 the mortality rate varies between 34% and 50%. 2 In addition, the morbidity is considerable, and, while mediastinal drainage is readily accomplished and often life-saving, primary closure of the inflamed esophageal wall is commonly followed by suture-line breakdown and empyema. Recently Tuttle and Barrett, 3 reporting on four patients with spontaneous perforation of the distal esophagus, all of whom experienced sutureline breakdown when primary closure was attempted. The term Mallory-Weiss syndrome has been used to embrace both mucosal ulceration of the gastroesophageal junction with hemorrhage, and spontaneous perforation of the esophagus. It is true that both probably represent variants of the same disease. However, the former lesion was originally described by Mallory and Weiss, and the latter was described in the 18th century by Boerhaave. Moreover, complete perforation requires urgent