食管破裂_____食管破裂；诊断；治疗(期刊论文)

食管破裂26例临床分析

http://www.100md.com 《河北北方学院学报(医学版)》 2005年第3期

食管破裂,,食管破裂；诊断；治疗,1临床资料,2结果,3讨论,参考文献

     【摘要】目的:总结了26例食管破裂的诊断和治疗经验，探讨食管破裂的诊断与治疗方法。方法:1988～2004年收治食管破裂患者26例，其中男25例，女1例，年龄28～72岁。26例患者中，2例保守治疗，6例切开食管摘取异物，3例行胸腔、纵隔引流加空肠及胃造瘘术，14例行食管修补术，1例行食管内带膜金属支架植入，二期再行食管切除食管胃吻合术。结果:26例患者中23例治愈，3例死亡，治愈率885%。结论:早期正确诊断具有重要意义,治疗方案应在对其损伤部位、损伤时间、纵隔感染的程度及患者的全身情况进行全面分析，综合考虑的基础上加以选择。

    【关键词】食管破裂；诊断；治疗

    Diagnosis and Treatment of Esophagus Rupture

    ZHANG Zhengming,ZHU Decheng,LU Lijun,et al.

    The First Affiliated Hospital,Hebei North University,075000,China

    【ABSTRACT】 Objective:To study the methods for the diagnosis and treatment of esophagus rupture and summarize the experience. Methods:From 1988 to 2004, 26 patients (25 males and 1femal, aged from 28～72 years old) with esophagus rupture were treated. Among the 26 cases, 2 cases received conservative treatment; 6 cases' esophaguses were slit to extirpate heterogeneous things; 3 cases received thorax and mediastinal conduction added gastrostomy or jejunostomy; 14 cases received esophagus hernioplasty; 1case was put the metallic bracket into esophagus and then received esophagus resection and esophagus -gastric anastomosis in the second period. Results:Among the 26 cases, 23 cases were cured, 3 cases died, the curing rate was 885%. Conclusion:The correct diagnosis for early esophagus rupture has important significance. The program for treatment should be selected on the bases of a thorough analysis and a comprehensive consideration for the injured location, the time, the level of mediastinal infection and the whole situation of patients. ......

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