Repair of spontaneous esophageal rupture early postoperative care.docVIP

 PAGE \* MERGEFORMAT 12 Repair of spontaneous esophageal rupture early postoperative care Author: Lin Yue-Yue Chen Xiaohua Xia Qing Hai-Yan Kong-wide Keywords: spontaneous rupture of esophagus Spontaneous esophageal rupture is a sudden rapid increase pressure on the esophagus caused by esophageal wall full-thickness rupture, also known as Boerhaave syndrome is a rare and dangerous disease with acute chest due to low incidence and often delayed diagnosis and misdiagnosis of early disease rate as high as 75%, such as the treatment is delayed up to 89% mortality rate to 100% [1]. Our hospital from October 1995 to December 2007 were treated in patients with spontaneous rupture of esophagus in 11 cases, postoperative care will now be summarized as follows. A clinical data 1.1 General Information Patients in this group 11 cases were male, aged 35 to 63 years old, with an average 48.2 years old, were vomiting prior to the onset history of 10 cases for a number of incentives for drinking, 1 case of eating unclean food. 10 cases of chest tightness, chest pain, shortness of breath, and 2 cases accompanied by abdominal pain or pain under Xiphoid. 10 cases had fluid on the left pneumothorax, 2 cases of pneumothorax associated with the left subphrenic fluid emphysema. Through the thoracic cavity closed drainage of the pleural effusion diagnosed food debris was found in 7 cases, 4 cases of oral methylene blue after wearing a removable chest pleural effusion diagnosed. 1.2 Methods I have taken to esophageal rupture repair surgery, thoracic debridement, closed drainage, with postoperative fasting, through the gastrointestinal decompression, intravenous nutrition and enteral nutrition combined treatment time 1 ~ 3 months. 1.3 Results The operation was completed successfully. 10 patients without perioperative death and serious postoperative complications. 1 case for some reason automatically discharged.