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《Henan Journal of Surgery》 2001-01
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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
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