PDF(Pubmed)
Abstract：
Treatment of esophageal perforation or rupture is complicated and controversial, especially in advanced cases. In fact, it is generally accepted that this disease must be treated individually according to the location, causes and clinical features of rupture or perforation. A very rare case was admitted to our department, who was injured 5 days ago by high-pressure gas of a running air compressor and resulted in a long-term longitudinal rupture of the thoracic esophagus. Although the patient suffered from empyema and mediastinitis at the same time, and his condition was very serious, the debridement and desquamation of empyema were still implemented, followed by left thoracic esophagectomy and left neck approach esophagogastrostomy in the same period successfully. The patient got a good result finally.
摘要：
食管穿孔或破裂的治疗是复杂和有争议的，尤其是在先进的情况下。事实上,人们普遍认为，这种疾病必须根据位置单独治疗，破裂或穿孔的原因和临床特征。我们部门收治了一个非常罕见的病例，5天前，他被运行中的空气压缩机的高压气体炸伤，导致胸段食管长期纵向破裂。尽管患者同时患有脓胸和纵隔炎，他的情况很严重,脓胸的清创和脱屑仍在实施，随后在同一时期进行了左胸食管切除术和左颈入路食管胃吻合术。病人最终取得了良好的结果。
