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本文对8例小儿腹部挤压伤合并食管破裂的压伤机制、临床表现、诊断及治疗方法进行临床分析。认为腹部挤压伤合并食管破裂的机制主要是由于腹内压骤然升高致食管内压升高,造成食管纵行撕裂伤,临床上应仔细全面体格检查,必要时行食管造影或胸腔诊断性穿刺检查早期诊断食管破裂。手术治疗原则:一期修补缝合裂口,尽量减少胸腔污染。对手术前已明确存在腹内脏器严重损伤及食管破裂者,采用胸腹联合切口。术后定期冲洗食管,保持胸腔闭式引流通畅,加强营养支持疗法,大剂量抗生素应用。
In this paper, 8 cases of abdominal crush injury in children with esophageal rupture of the crush mechanism, clinical manifestations, diagnosis and treatment of clinical analysis. That the mechanism of abdominal crush injury associated with esophageal rupture is mainly due to a sudden increase in intra-abdominal pressure caused by increased esophageal pressure, resulting in esophageal longitudinal laceration, the clinical should be carefully and comprehensively physical examination, if necessary, esophagectomy or chest diagnosis Sexual biopsy Early diagnosis of esophageal rupture. Surgical treatment principle: a repair suture rips, minimize chest contamination. Before the operation has been clearly the existence of severe abdominal organ damage and rupture of the esophagus, the use of thoracoabdominal incision. Regularly rinse the esophagus after surgery to maintain the closed thoracic drainage, nutrition support therapy, high-dose antibiotics.