CAJ | 학술논문

回顾性分析我科2007年8月至2011年12月收治的17例食管穿孔和食管破裂患者的临床资料.自发性食管破裂6例,食管异物致穿孔8例,医源性损伤3例.2例因病情危重家属放弃治疗,1例因全身状况差无法耐受手术行保守治疗,14例行手术治疗(13例开胸,1例颈部切口).保守治疗患者死亡,手术治疗者死亡2例,12例痊愈出院.对食管穿孔和食管破裂应根据病情选择治疗方案.
회고성분석아과2007년8월지2011년12월수치적17례식관천공화식관파렬환자적림상자료.자발성식관파렬6례,식관이물치천공8례,의원성손상3례.2례인병정위중가속방기치료,1례인전신상황차무법내수수술행보수치료,14례행수술치료(13례개흉,1례경부절구).보수치료환자사망,수술치료자사망2례,12례전유출원.대식관천공화식관파렬응근거병정선택치료방안.
We retrospectively analyzed the clinical data of 17 patients with esophageal perforation and rupture from August 2007 to December 2011.Among them,there were spontaneous esophageal rupture (n =6),esophageal perforation caused by foreign bodies (n =8) and iatrogenic injury (n =3).Family members gave up treatment because of critical illness (n =2),conservative treatment was offered for surgical intolerance (n =1) and all others (n =14) underwent operation (thoractomy,n =13 ; neck incision,n =1).One patient with conservative treatment and another two surgical cases died.The other 12 cases recovered.Therefore individualized treatment is essential for the patients with esophageal perforation and rupture.