Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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A Clinical Evaluation of the Esophageal Perforation

식도 천공의 임상적 고찰

  • 김재학 (충남대학교 의과대학 흉부외과학교실) ;
  • 오덕진 (충남대학교 의과대학 흉부외과학교실)
  • Published : 1996.07.01
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Abstract

Fifteen patients with esophageal perforation were treated at the Department of Thoracic and Cardiovacular Surgery, Chungnam National University Hospital during the period from June, 1985 to September, 1995. The ratio between male and female patients was 9 : 6, their age ranged from 19 years to 71 years old(a erage : 49 years old). The causes of the perforation were various, spontaneous in 4 cases, foreign body in 4 cases, instrumental trauma in ) cases, chest trauma in 1 case, drug ingestion (chlorocalchi) induced in 1 case, tracheostomy induced in 1 case, unknown in 1 case. The perforation sites were intrathoracic esophagus in 9 cases and cervical in 6 cases. The Patients complained of chest or cervi- cal pain in 11 cases, fever in 9 cases, dysphagia in 8 cases and dyspnea in 5 cases. We have performed the following surgical procedures : incision and drainage, primary repair, gastrostomy for cervical esophageal perf'oration and primary repair, primary repair and pleural flap reinforcement, gastrostomy for thoracic esophageal perforation. A patient died of sepsis.

충남대학교 병원 흉부외과에서 1985년 6월부터 1995년 10월까지 식도 천공 15례를 경험하였다. 남녀 비는 9 대 6 이 었으며, 연령 분포는 19세 에서 71세 (평균 49세)까지 였다. 식도 천공 원인은 다양하여, 특 발성 및 식도이물 섭취로, 천공된 례가 각각 4례, 기구 조작에 의한 경우 3례, 흉부 둔상 1례, 약물(클로 르칸키) 섭 취 1례, 기관 절개술시 식도 손상 1례, 원인 불명의 천공 1례가 있었다. 천공 부위는 흉부 식도 9례, 경부 식도 6례 였다. 증상은 동통 11례, 발열 9례, 연하 곤란 Bfl, 호흡 곤란 5례 등이었다. 수술은 경 부 식도 천공의 경우 절개 및 배액술, 단순 봉합, 위루술등, 흉부 식도 천공의 경우 단순 봉합, 단순 봉합 및 흥막 보강술, 위루술 등을 시행하였다 1례가 사망하였으며, 사인은 패혈증이 었다.

Keywords

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