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《Beijing Medical Journal》 2007-03
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Treatment of esophageal perforation caused by foreign bodies (report of 87 cases)

YANG Lei,LI Jian-ye,YU Tao(Department of Thoracic Surgery,Beijing Tongren Hospital,Beijing 100730)  
Objective To review the treatment strategy and outcome of esophageal perforation caused by foreign bodies. Methods From January 1950 to June 2005,87 patients with esophageal perforation caused by foreign bodies were treated in our department. 39 patients were with cervical perforations. Among them 35 patients were treated by conservative treatment,4 patients were treated surgically. There were 48 patients with thoracic perforations. Among them 20 patients were treated by conservative treatment,28 patients were treated surgically. Results All the 39 patients with cervical perforations were cured. 15 out of the 20 patients with thoracic perforations who were treated by conservative treatment were cured,2 patients died of severe thoracic and mediastinal infection,3 patients died of aortic hemorrhage. 26 out of the 28 patients with thoracic perforations who were treated by operation were cured,2 patients died of aortic hemorrhage during and after the operation respectively. Conclusions Most of patients with cervical perforations could treated by conservative treatment,whereas most of patients with thoracic perforations should be treated surgically.
【CateGory Index】: R655.4
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