食管自发性破裂的病因、临床表现及治疗（Etiology, clinical manifestation and treatment of spontaneous rupture of esophagus）.doc

食管自发性破裂的病因、临床表现及治疗（Etiology, clinical manifestation and treatment of spontaneous rupture of esophagus） Summary Spontaneous rupture of the esophagus is defined as sudden rupture of the esophagus in healthy people. The majority of these are caused by drinking and vomiting and rupture of the entire esophagus wall. This is the cause of rupture of the esophagus after vomiting. It is sometimes associated with gastric acid secretion, referred to as peptic perforation of the esophagus. Traumatic perforation, such as instrument injury, is called non traumatic perforation of esophagus. Two. Etiology The causes and mechanisms of spontaneous rupture of the esophagus are not yet fully understood. Most of the patients had vomiting first, followed by esophageal rupture, so vomiting was still the most important cause of the disease. Associated with vomiting is drinking. Most of the vomiting patients are overeating and vomiting after drinking. Other causes of spontaneous rupture of the esophagus include childbirth, car accident, epilepsy, etc.. Three 、 clinical manifestation Male patients are obviously more than female, most of them are young adults. 1., the initial symptoms of vomiting, nausea, upper abdominal pain, chest pain. Some patients with hematemesis. Patients with vomiting often have a history of drinking or overeating. Pain sometimes radiates to the shoulder and back. The symptoms may have severe shortness of breath, dyspnea, cyanosis, shock, etc.. 2., physical examination, mostly manifested as acute abdomen, may have the corresponding signs of pneumothorax, abdominal tenderness, muscle tension, and even the shape of the abdomen. The contents of the esophagus and stomach into the chest and peritoneal cavity can lead to a chemical chest and peritonitis. Four, check 1. laboratory examination, increased WBC count. 2. chest X-ray fluoroscopy is of great value. Many patients have noticed chest fluid pneumothorax through emergency chest fluoroscopy. X-ray radiography showed lat