Journal of Clinical Otorhinolaryngology Head and Neck Surgery. 2014, (09) Core

Treatment of esophageal perforation complicated with lethal massive hemorrhage induced by foreign bodyChinese Full Text

HU Peng;LI Youzhong;WANG Qin;XIE Dinghua;YANG Xinming;ZHU Ganghua;Department of Otorhinolaryngology,the Second Xiangya Hospital,Central South University;

Abstract: Objective:To explore the clinical characteristics and therapies for esophageal perforation complicated with lethal massive hemorrhage caused by esophageal foreign body.Method:To retrospective analysis the treatment of massive hemorrhage at the carotid artery or aorta caused by esophageal foreign body in forty seven patients,Foreign body characters,surgical approaches,and postsurgical management were summarized.Result:Among 24patients with cervical esophageal foreign body,the object was removed either by esophagoscopy or through lateral cervical incision.After controlling carotid artery hemorrhage and repairing Fistula of artery from cervical incision,19patients survived.For the 23patients with thoracic esophageal foreign body accompanied with aorta hemorrhea,thoracotomy was performed to remove the foreign body and repair the aortic fistula.Only 3of these 23patients recovered from the emergent surgery,other 20patients died.Conclusion:For the patients with esophageal foreign body inducing large vessel impingement,the most reliable therapeutic method is surgical repairing of arterial perforation and extraction of the foreign body via cervical or thoracic incision.Carotid ligation should be considered in patients with recurrent carotid hemorrhage.For the patient with mediastinitis,esophageal exclusion is recommended to prevent infection and to promote healing of aortic perforation after aortic fistula repairing.

Keywords：

esophagus; foreign body; carotid artery; aorta; complications;

DOI：
10.13201/j.issn.1001-1781.2014.09.004
Series：
Subject：
Classification Code：
R768.3

Mobile Reading

Read on your phone instantly

Step 1
Scan QR Codes

"Mobile CNKI-CNKI Express" App

Step 2
Open“CNKI Express”

and click the scan icon in the upper left corner of the homepage.

Step 3
Scan QR Codes

Read this article on your phone.
HTML
CAJ Download
PDF Download

Contents

Treatment of esophageal perforation complicated with lethal massive hemorrhage induced by foreign bodyChinese Full Text

HU Peng;LI Youzhong;WANG Qin;XIE Dinghua;YANG Xinming;ZHU Ganghua;Department of Otorhinolaryngology,the Second Xiangya Hospital,Central South University;

Read on your phone instantly

Citation Network

Related Literature