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The diagnosis and treatment of spontaneous esophageal rupture

Xu Tong,Lu Xinghua (Peking Union Medical College Hospital,Beijing 100730)  
Objective To discuss the diagnosis and treatment of spontaneous esophageal rupture (Boerhaave's syndrome) Methods Seven patients seen in our hospital from 1965 till now were investigated retrospectively Results Four patients were diagnosed clinically,and 3 were diagnosed intraoperatively Two were successfully treated conservatively Three underwent primary repair within 24 hours of onset,with satisfactory results in 2,but 1 died of rerupture Two cases received operation more than one month later and both survived Conclusions A rapid but complete and accurate grasp of history,remaining high alert on the disease is the key to avoid misdiagnosis The diagnosis can be confirmed or excluded by a chest film,a contrast study of the esophagus or characteristic contents in thoracic fluid Sufficient drainage and esophageal repair is effective and reliable therapy
【CateGory Index】: R655.4
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