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《CHINESE JOURNAL OF THORACIC AND CARDIOVAESCULAR SURGERY》 1995-02
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Experience in Surgical Treatment for Spontaneous Rupture of Esophagus

Wang-kou Ma; Qi-yuang Song;Yang-rong Zhu.(Department of Thoracic Cardiovascular Surgery, Affiliated Hospital of Hanjing Railway Medical College.Nanjing 210009)  
The result of surgical treatment of 14 cases of spontaneous rupture of esophagus from 1962 to 1990 was reported.Twelve patients underwent primary repair, 7 of them were repaired between 26  ̄ 432 hours (average 148 hours) after rupture. Ten patients (83%)survived.In the other two patients exteriorization of cervical segment of the esophagus and ligation of the cardia were first perfomed, and then the esophagus was replaced with colon. One patient died.The authors emphasized that the choice of the surgical procedure should be considered according to the general condition of the patients rather than the time after rupture.The technique of repairing the rupture, the choice of tissue for covering the suture line and the postoperative management were discussed.
【CateGory Index】: R655.405
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