| 食管穿孔与破裂17例诊治分析 |
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| 引用本文： | 汪国文,王祖义,陶涛,刘学刚,唐震,段贵新.食管穿孔与破裂17例诊治分析[J].中华全科医师杂志,2013(11):923-925. |
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| 作者姓名： | 汪国文 王祖义 陶涛 刘学刚 唐震 段贵新 |
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| 作者单位： | 安徽省蚌埠医学院第一附属医院胸心外科,233004 |
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| 摘 要： | 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.
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| 关 键 词： | 食管穿孔 食管破裂 |
Diagnosis and treatment of patients with esophageal perforation and rupture |
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| WANG Guo-wen;WANG Zu-yi;TAO Tao;LIU Xue-gang;TANG Zhen;DUAN Gui-xin.Diagnosis and treatment of patients with esophageal perforation and rupture[J].Chinese JOurnal of General Practitioners,2013(11):923-925. |
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| Authors: | WANG Guo-wen;WANG Zu-yi;TAO Tao;LIU Xue-gang;TANG Zhen;DUAN Gui-xin |
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| Institution: | WANG Guo-wen;WANG Zu-yi;TAO Tao;LIU Xue-gang;TANG Zhen;DUAN Gui-xin(Department of Cardiothoracic Surgery,Affiliated Hospital, Bengbu Medical College, Bengbu 233004, Anhui, China) |
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| Abstract: | 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. |
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| Keywords: | Esophageal perforation Esophageal rupture |
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