摘要:目的: 探討自發(fā)性食管破裂的診斷和治療經(jīng)驗。 方法 :對我院1996年2月至2009年8月收治的8例自發(fā)性食管破裂患者的診斷和治療作回顧性分析。 結(jié)果 :全組患者7例行手術(shù)治療,1例行保守治療。6例患者行修補手術(shù),其中4例行分層縫合,2例行全層縫合。1例行食管切除胃食管吻合術(shù)。本組痊愈7例,死亡1例。 結(jié)論 :早期診斷和早期治療是自發(fā)性食管破裂的治療原則。確診患者,若病情允許,應(yīng)首選手術(shù)治療。Abstract: Objective: To explore the clinical diagnosis and treatment of spontaneous esophageal rupture. Methods :The clinical features, diagnosis and surgical treatment of 8 patients with spontaneous esophageal rupture were retrospectively reviewed. Results :There were 7 cases treated by surgical therapy and 1 case for conservative treatment. 6 cases were treated by surgical repair including 4 cases of layered suture and 2 cases of singlelayer suture. 1 case was treated by esophagus resection and gastroesophagostomy. In the whole group, 7 cases were cured and 1 case died. Conclusion :The therapeutic principle of spontaneous esophageal rupture are early diagnosis and early treatment. For diagnosed patient, surgical procedure is the first choice if condition permitted.