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自发性食管破裂17例诊治体会
引用本文:刘胜中,曾富春,冯刚,薛洋,丛伟. 自发性食管破裂17例诊治体会[J]. 四川医学, 2011, 32(8): 1195-1197
作者姓名:刘胜中  曾富春  冯刚  薛洋  丛伟
作者单位:四川省医学科学院·四川省人民医院心胸外科,四川,成都,610072
摘    要:
目的总结自发性食管破裂(SRE)的临床特点和外科治疗经验,提高临床医师对本病的诊治水平。方法回顾性分析我院2007年9月~2010年9月间收治的17例SRE患者的临床资料。结果手术治疗13例,治愈10例,死亡3例。覆膜支架置入治疗4例,均治愈。结论 SRE是一种误诊率和病死率均较高的胸外科急症,早期诊断和及时正确的外科处理是救治SRE的最好方法。

关 键 词:自发性食管破裂  诊断  外科手术  全覆膜支架

The experience of diagnosis and treatment about 17 cases of spontaneous rupture of esophagus
Affiliation:LIU Sheng-zhong,ZENG Fu-chun,FENG Gang,et al.Sichuan Academy of Medical Sciences &The People′s Hospital of Sichuan,Chengdu,Sichuan 610072,China
Abstract:
Objective To summarize the clinical characteristics and surgical treatment experience of spontaneous rupture of esophagus(SRE),and to improve the standard of diagnosis and treatment.Methods The clinical data of 17 cases of SRE admitted from September 2007 to September 2010 was retrospectively analyzed.Results 10 cases were cured and 3 cases died in 13 cases of SRE underwent surgery.4 cases were cured by implating all-coverd stent.Conclusion SRE is an emergency of thoracic surgery with frequent misdiagnosis and higher mortality.The early diagnosis and proper surgical treatment are the best way to cure SRE.
Keywords:spontaneous rupture of esophagus  diagnosis  surgery  all-coverd stent
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