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- Spontaneous Rupture of Esophagus--Boerhaave's Syndrome
- Boerhaave's Syndrome (Spontaneous Rupture of the Esophagus)--A Report of Two Cases
- Boerhaave氏症候群(自發性氣胸)
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| 題 名 | Boerhaave's Syndrome (Spontaneous Rupture of the Esophagus)--A Report of Two Cases=Boerhaave氏症候群(自發性食道破裂) |
|---|---|
| 作 者 | 王世名; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 10:3 1977.09[民66.09] |
| 頁 次 | 頁203-208 |
| 關鍵詞 | Boerhaave氏症候群; 自發性食道破裂; |
| 語 文 | 英文(English) |
| 中文摘要 | 食道可因外傷、良性或惡性潰瘍、化學藥品的侵蝕、或自發性而穿孔。食道的自發性破裂並不常見,但因醫師警覺性的提高而增加了診斷率。 從民國的到65年的三年間,在台大醫院外科治療了兩例自發性食道破裂的病人。患者都是男性,年齡為47歲及49歲。主訴為猛烈的嘔吐後胸痛及呼吸困難,主要症狀在早期病例為頸部皮下氣腫,而慢性病倒為左胸部膿瘻。我們以症狀、胸部X光檢查及食道攝影而作診斷。早期的一例以「創口初期縫合術併用胃底摺疊術」治療,結果良好;一慢性病例首先以左胸引流術及抗生素治療,以後再施行大腸置位術及賁門結紮術,但引起慢性膿胸及支氣管胸腔瘻管,治療結果不良。 本文同時追述其歷史,之檢討其發生的原因,症候,及治療的原則。如果迅速地診斷,並適當地治療,一般預後是相當良好。 |
| 英文摘要 | Two cases of Boethaave's syndrome, spontaneous rupture of the esophagus, treated at the National Taiwan University Hospital in recent 3 years from 1974 to 1976 were reported. Both of them were male and their ages were 47 and 49 years respectively. The chief complaints were chest pain and dyspnea after violent vomiting. The main signs were cervical subcutaneous emphysema in an early case and a discharging sinus of the left chest in a chronic case. The diagnosis was made by symptoms and signs, chest x-ray studies and esophagography. One of them was treated with primary closure and fundoplication plus truncal vagotomy and pyloroplasty with an excellent result. The other one was treated with chest tube drainage and antibiotic therapy at frrst, then colon interposition and later cardia ligation for complicating chronic empyema and bronchopleural fistula. The result of treatment in second patient was poor because his empyema and bronchopleural fistula did not response to the treatment. A brief review of etiology and management of Boerhaave's syndrome was also included. |
本系統中英文摘要資訊取自各篇刊載內容。