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《Chinese General Practice》 2006-06
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The Characteristics of Spontaneous Rupture of Esophagus and Misdiagnosed Analysis

WANG Jian-hua.Department of Thoracic and cardiovascular Surgery,People′s Hospital of Xingtai,Xingtai 054031,China  
Objective To summarize the misdiagnosis experience and lesson of spontaneous rupture of esophagus in order to improve the standard of diagnosis and treatment.Methods The clinical characteristics includes disease causes,symptoms,physical features,assistant examinations,the methods of diagnosis and differential diagnosis and the results of the follow-up were studied retrospectively on 58 missed cases of spontaneous rupture of esophagus that were admitted from Feb 1973 to Jun 2004.Results In the study group,there were 56 men cases,2 women cases,men to women is 28 to 1,the ages ranged from 30 to 78,the average age was 42.6,the misdiagnosis time was 12 h~42 d,the average time was 32.8 h.The common misdiagnosed diseases included spontaneous pneumothorax (20 cases),acute pancreatitis (14 cases),acute empyema (6 cases),gastrointestinal perforation (6 cases),pulmonary abscess (2 cases),bronchus broken (2 cases),pulmonary infarction (1 case),dissecting aneurysm (1 case),and myocardial infaraction (2 cases) et al.22 cases among them died.Conclusion Spontaneous rupture of esophagus is an emergency of thoracic surgery with frequent misdiagnosis and higher mortality.The prognosis is strongly associated with early diagnosis and proper treatment.Improving the knowledge about spontaneous rupture of esophagus and mastering the key points of diagnosing and distinguishing are key to decrease misdiagnosis and to diagnose effectively in time.
【CateGory Index】: R655.4
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【References】
Chinese Journal Full-text Database 1 Hits
1 HUA Xu The First Department of Surgery,People's Hospital of Huadu District,Guangzhou 510800;Surgical treatment of spontaneous rupture of esophagus[J];Lingnan Modern Clinics in Surgery;2007-04
【Co-citations】
Chinese Journal Full-text Database 7 Hits
1 XIANG Shu-tian,YUE Li-rong,ZENG Jun-ren,SU Wei,CAI Xue-guang,YUAN Shou-hong The second People's Hospital of Yunnan Province Radiology,Kun Ming 650021;Clinical Application of Temporary Covered Stent for Esophageal Rupture[J];Contemporary Medicine;2009-05
2 SHI Kai-hu,CAO Wei,ZHANG Fei,et al.Department of Cardiothoracic Surgery,Second Affiliated Hospital of Anhui Medical University,Hefei(230601),China;Surgical treatment for spontaneous rupture of esophagus[J];International Journal of Digestive Diseases;2010-01
3 ZHOU Zheng,ZOU Jian-wei,ZHU Xiao-li,LIU Yi-zhi.Department of Interventional Radiology,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Covered stent placement for the treatment of esophageal fistulae caused by different disorders: an analysis of its effectiveness and safety[J];Journal of Interventional Radiology;2011-05
4 HUANG Pei-jie,ZHANG Yan-feng,LI Kai-he.The Second People′s Hospital of Santou City,Guangdong 515011.China;Disgnosis,Treatment and Death Causes of Spontaneous Rupture of Esophagus[J];Chinese General Practice;2004-24
5 ;CT Diagnosis of Spontaneous Rupture of the Esophagus[J];Journal of Practical Radiology;2007-09
6 SUN Chang-hui.Division of Chest Disease,Chaoyang Hospital of Huainan,Anhui 232007,China;Diagnosis and Treatment of Spontaneous Esophageal Ruptures in 11 Patients[J];Applied Journal of General Practice;2008-04
7 ZHAO Li,LV Zhiwu,GENG Ying. Department of Gastroenterology,Harbin Medical University The Second Affiliated Hospital,Harbin (150086);Diagnosis and Treatment of Spontaneous Rupture of Esophagus[J];Chinese Journal of Gastroenterology;2008-08
【Co-references】
Chinese Journal Full-text Database 5 Hits
1 HUI Gang, ZHANG Ben-gu, WU Da, PENG Xu-xing(Department of Thoracie Surgery. Beijing University Shenzhen Hospital, Shenzhen, Guangdong 518036);The Diagnosis and Treatment of Spontaneous Esophageal Rupture[J];Academic Journal of Guangzhou Medical College;2004-02
2 XU Shanming CHEN Anqing NIU Haidi,et al.Department of Thordiac Surgery,Jinshan Hospital,Fudan University, Shanghai 200540;Department of Cardiac Surgery,Zhongshan Hospital,Fudan University 20032;Diagnosis and Treatment to Spontaneous Transmural Rupture of Esophagus[J];Chinese Journal of Clinical Medicine;2006-01
3 HUANG Pei-jie,ZHANG Yan-feng,LI Kai-he.The Second People′s Hospital of Santou City,Guangdong 515011.China;Disgnosis,Treatment and Death Causes of Spontaneous Rupture of Esophagus[J];Chinese General Practice;2004-24
4 ZHU Hui,WU Ming-bai,ZHANG Zhu,et al (Department of Thoracic Surgery,First Affiliated Hospital,Xinjiang Medical University,Urumqi 830000,China);The diagnosis and surgical treatment of spontaneous esophageal rupture[J];Journal of Xinjiang Medical University;2004-04
5 WAN G Jian- hua,BAI Ya- qing,WAN G Jin- sheng,et al.Department of Thoracic and Cardiovascular Surgery,People's H ospital of X ing Tai.X ingtai H ebei,P.R.China0 5 40 31;REPAIR OF SPONTANEOUSRUPTURE OF ESOPHAGUSBY PEDICL ED GREATER OMENTUM(10 Cases Re- port)[J];CHINESE JOURNAL OF REPARATIVE AND RECONSTRUCTIVE SURGERY;2000-02
【Secondary Citations】
Chinese Journal Full-text Database 2 Hits
1 Yin Hongnian,Wang Zhou,Zhang Lin,et al.Department Thoracic Surgery,First Affiliated Hospital of China Medical University,Shenyang 110001;Spontaneous Rupture of the Esophagus(Report of 16 Cases)[J];CHINESE JOURNAL OF THORACIC AND CARDIOVAESCULAR SURGERY;1997-04
2 WAN G Jian- hua,BAI Ya- qing,WAN G Jin- sheng,et al.Department of Thoracic and Cardiovascular Surgery,People's H ospital of X ing Tai.X ingtai H ebei,P.R.China0 5 40 31;REPAIR OF SPONTANEOUSRUPTURE OF ESOPHAGUSBY PEDICL ED GREATER OMENTUM(10 Cases Re- port)[J];CHINESE JOURNAL OF REPARATIVE AND RECONSTRUCTIVE SURGERY;2000-02
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