[Discussion on diagnosis and treatment of 12 patients with intrathoracic oesophageal perforation caused by foreign body].
OBJECTIVE
To explore the countermeasure to reduce fatality in patients with intrathoracic oesophageal perforation caused by foreign body.


METHODS
Exploratory pleuracotomy were operated on all the 12 cases with intrathoracic esophageal perforation caused by foreign body. According to the different pathological morbids, one of following surgical procedures was operated: 1. esophagoscopy was used to fetch the foreign body and the oesophageal perforation was repaired (3 cases), 2. esophagotomy was adopted to fetch the foreign body and to had the oesophageal a drainage using "T" tube (5 cases), 3. esophagotomy was adopted to fetch the foreign body and to had the oesophageal a drainage using "T" tube as well jejunostomy (3 cases). Occlusive drainage were used on all the cases and pleuroclysis with flagyl soloution and normal saline were used on some cases.


RESULTS
Four of 12 cases (33.3%) were cured, the others (66.7%) died, among them 7 cases died of breaks of thoracaorta and hematorrhoea afterwards.


CONCLUSIONS
An esophagoscopy to fetch the foreign body, the pleuracotomy to protect thoracaorta in time, preventing infection and hematorrhoea post-operation are keys in reduce the fatality in patients with intrathoracic oesophageal perforation caused by foreign body.
Zhang
Yan
Y
Department of Otorhinolaryngology, Third Hospital, Wuhan, 430060, China.
Lu
Ping
P
D000328:Adult; D004939:Esophageal Perforation / Q000209:etiology* / Q000601:surgery*; D016629:Esophagectomy; D004945:Esophagoscopy; D004947:Esophagus; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged