The treatment of oesophageal perforations.
The treatment of oesophageal perforations.
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食管穿孔的治疗。
DOI：
10.3109/14017437809100364
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发表时间：
1978
期刊：
影响因子：
--
通讯作者：
A. Henze
中科院分区：
文献类型：
--
作者：
L. Bergdahl;A. Henze
本报告回顾了 20 年来在瑞典斯德哥尔摩 Karolinska Sjukhuset 胸外科诊所治疗的连续 24 例食管穿孔病例。食管内固定术后发生 14 例穿孔，其中 5 例是异物穿孔，5 例是自发性穿孔。六名患者经过保守治疗并存活下来。接受引流和抗生素治疗的 10 名患者中有 2 人死于纵隔炎。 8 名患者进行了穿孔闭合手术，其中 1 人死于纵隔炎。住院时间分别为22天、61天和32天。通过对食管穿孔文献（290例）的调查，发现主要影响预后的因素有3个。首先，治疗方式与早期死亡率有关，保守治疗期间死亡18%，引流后死亡30%，修复后死亡16%。其次，穿孔的类型似乎是结果的另一个决定因素。器械穿孔与 l...
This report reviews 24 consecutive cases of oesophageal perforation which were treated during a 20-year-period at the Thoracic Surgical Clinic, Karolinska Sjukhuset, Stockholm, Sweden. Fourteen perforations followed oesophageal instrumentation, 5 were due to foreign bodies and 5 were spontaneous. Six patients were treated conservatively and survived. Two of 10 patients treated with drainage and antibiotics died of mediastinitis. Surgical closure of the perforation was performed in 8 patients, one of whom died of mediastinitis. The periods of hospitalization were 22, 61 and 32 days, respectively. A survey of the literature on oesophageal perforation (290 cases) revealed 3 factors which mainly affected the prognosis. Firstly, the mode of treatment related to the early mortality rate in that 18% died during conservative treatment, 30% after drainage and 16% following repair. Secondly, the type of perforation appeared to be another determinant of the outcome. Instrumental perforations were associated with a l...