Diagnosis and surgical treatment of spontaneous rupture of esophagus (reports of 22 cases)
Cui Guanghui, Zhao Qingshe , Xu Jiangong. Third Attached Hospital of Xinxiang Medical College , Henan. 453003.
Objective: To summarize the experiments of diagnosis and surgical treatment of spontaneous ruture of esophagus (Boeahavve Syndrome ) . Methods: To review and anylize the diagnosis 、 treatments and results of 22 patients of spontaneous rupture of esophagus treated in our hospital in the years 1996- 1998.Results:Early diagnosis and operation were performed on 10 cases ( 48 h)of the group and the mortality rate was 20% (2/10) ,the other 12 cases treated lately, the mortality rate was 41.7% (5/12) .5 cases of the patients admitted primary repair after 24 h,3 were successful . Conclusion: Early diagnosis and appropriate surgical treatments are the key to increase the curative effect and reduce the mortality rate. 24 h is not the demarcation line to determine whether primary repair should be done. Primary repair is the first choice if the condition of horizontal tear and thoracic cauity permit.
【CateGory Index】： R655