8例自发性食管破裂的诊治体会

目的：总结自发性食管破裂误诊及治疗的经验。方法：回顾8例患者的误诊原因及确诊后外科治疗的方法。结果：全组病例5例死亡,死亡率62.5%。结论：自发性食管破裂易被误诊为急腹症、冠心病、自发性气胸。尽早确诊、术中选择合适的手术方式、术后充分引流是治疗成功的关键。

The experience of diagnosis of spontaneous rupture of the esophagus

Objective：To evaluate the experience of misdiagnosis and treatment of spontaneous rupture of the esophagus.Methods：To review the reason of misdiagnosis to 8 patients with spontaneous rupture of the esophagus,and the method of surgical treatment after diagnose.Results：There are 5 patients death with a mortality rate of62.5%.Conclusion：It is easy that spontaneous rupture of the esophagus is easily misdiagnosed as acute abdomen,coronary heart disease,therapeutic pneumothorax.It may be concluded that early diagnosis,the method of operation and drainage after operation are the key points of succeed in treating.