About 14 cases of spontaneous esophageal rupture diagnosis and treatment（对14例自发性食管破裂的诊断和治疗）.docVIP

About 14 cases of spontaneous esophageal rupture diagnosis and treatment [Words] of spontaneous rupture of the esophagus Keywords: spontaneous rupture of the esophagus, esophageal sutured esophagography Spontaneous rupture of the esophagus that Boer haave syndrome, although the incidence is only 1/6000, accounting for 15% of all esophageal perforation, but the mortality rate is as high as 25% to 100% [1], early diagnosis and timely treatment is particularly patients admitted to our hospital from May 1990 to May 2002 14 cases of spontaneous rupture of the esophagus, timely diagnosis and treatment, the patients were cured, are as follows. 1 Clinical data 14 patients, 12 males and 2 females, aged 23 to 69 years, in which the oxygen explosion injured one cases, the rest were due to overeating, drinking or intake of contaminated food after vomiting due to all the cases were confirmed by X-ray examination liquid pneumothorax, after lipiodol contrast transesophageal (or swallowing the semen of blue wine, thoracentesis diagnosed, confirmed for of 6 ~~ 49 h after injury time, an average of 23 h. esophagus break in the 10 cases under paragraph 4 cases, and middle ruptured into the right pleural eight cases, five cases left, 2 side 1, rip 1 to 8 cm long, with an average of 5 cm. Rupture of the 14 cases, 9 cases ipsilateral thoracic esophageal full-thickness or layered interrupted sutures with surrounding the of pedicled pleural film or muscle flap coverage, including 5 cases jejunostomy, 4 routine stomach tube nasal feeding. Remaining five cases the thorough debridement line esophageal resection, the .14 cases esophagogastrostomy were cured after. 2 Discussion Spontaneous rupture of the esophagus caused by vomiting, incoordination, esophageal strongly spasm or esophageal itself the lesions, the stomach contents can not spit out the smooth, resulting in intraluminal esophageal pressure surge caused by esophageal wall rupture. Incidence of 80% wi