食道穿孔－病例報告

Esophageal Perforation - Case Report

盧思田(Sei-Tan Lu) ； 熊明旺(Ming-Wang Hsieng) ； 朱永祥(Yueng-Hsiung Chu) ； 林朝榮(Chao-Jung Lin) ； 王興萬(Hsing-Won Wang) ； 蘇文勇(Wen-Yang Su)

《中華民國耳鼻喉科醫學雜誌》 37卷3期 (2002/03) Pp. 198-202

https://doi.org/10.6286/2002.37.3.198

摘要

食道穿孔是一個發生率很低的疾病，但是因為它的死亡併發率很高，且大多數是醫源性原因所引起，所有在處理食道疾患時大家都分外的小心。本院於2000年8月初有一食道異物病患，經上段硬式食道鏡檢取出異物後，並以中段食道鏡覆檢，於手術後6小時發生發燒、胸痛、呼吸急促等症狀，經電腦斷層檢查確定後發現有胸段食道微小穿孔跡象，在保守性治療10日後痊癒出院，追蹤半年內並無任何不適症狀。食道穿孔必須及早診斷治療，以避免嚴重之併發症。如何適當的避免醫源性的食道穿孔，以及發生後如何儘早診斷及選擇適當的治療方式，仍是值得深思探討的問題。

關鍵字

食道穿孔 ； 醫源性 ； 硬式食道鏡檢

並列摘要

Esophageal perforation is uncommon, but carries a high risk of mortality. Most perfora-tions are the result of iatrogenic procedures, which is why esophageal disorders are so carefully managed. A patient with esophageal foreign body retention attended our hospi-tal for medical attention. Six hours after upper and middle rigid esophageal endoscopy were performed, fever, chest pain and hypotension were noted. Computed tomography showed abnormal free air over the precarinal region and perforation of the thoracic esoph-agus was diagnosed. The patient was conservatively managed over 10 days after which she was discharged without any sequela.

並列關鍵字

esophageal perforation ； iatrogenic ； rigid esophagoscopy