4 cases of spontaneous rupture of Diagnosis and Treatment.docVIP

 PAGE \* MERGEFORMAT 5 4 cases of spontaneous rupture of Diagnosis and Treatment [Keywords:] esophageal rupture, spontaneous; surgery Spontaneous rupture of the esophagus is esophageal perforation of unknown causes can be divided into pressure and non-pressure type. Pressure-type refers to a sharp increase due to intra-abdominal pressure, glottis closed, the rapid rise in pressure inside the esophagus, resulting in expansion of the esophageal tear generally occurs in the lower esophagus, accounting for more than 85% of rupture of the esophagus. clinically by vomiting the most common cause of esophageal perforation. non-pressure type generally include esophageal rupture, esophageal injury (such as fish bone, bones, scratches, etc.), digestive ulcer caused by [1]. Non-pressurized rupture of the esophagus is not in this discussion as well. now to our department over the past year in 4 cases of esophageal rupture spontaneously, Diagnosis and Treatment of the report now follows. 1 Clinical data 1.1 General information on the whole group in 4 cases, 3 males and 1 female; mean age of 54 years. Of them were 1 case of vomiting after drinking, motion sickness, vomiting in 1 case, and the remaining 2 cases incentives are unknown. All patients were presence of clinical symptoms varying degrees of chest pain, chest tightness, and right upper quadrant pain and fever. anterior area physical examination can reach a sense of twisted hair, the right significantly decreased breath sounds, percussion dullness was right lower lung. the right side of the chest X ray prompt solution pneumothorax, esophageal Diluted barium contrast agent out of the esophagus see, the one to do the chest CT showed 1 case of mediastinal emphysema, 4 cases were closed thoracic drainage done, turbid purulent fluid were observed in outflows, of which 1 case out of food residues. 1.2 The treatment of this group of patients underwent surgical treatment, surgical repair are esophageal fistula +