https://www.yiliao.com/index.php?action=history&feed=atom&title=%E9%A3%9F%E7%AE%A1%E7%A0%B4%E8%A3%82 2026-04-18T09:45:36Z 本wiki的该页面的版本历史 MediaWiki 1.35.1 https://www.yiliao.com/index.php?title=%E9%A3%9F%E7%AE%A1%E7%A0%B4%E8%A3%82&diff=238691&oldid=prev 2014-03-12T15:19:11Z

<p></p> <table class="diff diff-contentalign-left diff-editfont-monospace" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2014年3月12日 (三) 15:19的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l24" >第24行：</td> <td colspan="2" class="diff-lineno">第24行：</td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[分类:疾病]]</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[分类:疾病]]</div></td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">==健康问答网关于食管破裂的相关提问==</del></div></td><td colspan="2"> </td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;rss title=off time=720000&gt;http://www.wenda120.com/tags/131/rss&lt;/rss&gt;</del></div></td><td colspan="2"> </td></tr> </table>

Admin https://www.yiliao.com/index.php?title=%E9%A3%9F%E7%AE%A1%E7%A0%B4%E8%A3%82&diff=63771&oldid=prev 2014-01-26T03:57:44Z

<p>以“多因<a href="/%E5%A4%96%E4%BC%A4" title="外伤">外伤</a>、异物或腹内压骤然增高（如剧烈<a href="/%E5%91%95%E5%90%90" title="呕吐">呕吐</a>或<a href="/%E5%88%86%E5%A8%A9" title="分娩">分娩</a>等）引起，亦有为医源性损伤如作<a href="/%E9%A3%9F%E7%AE%A1" title="食管">食管</a>镜、<a href="/%E8%83%83%E9%95%9C" class="mw-redirect" title="胃镜">胃镜</a>时操作...”为内容创建页面</p> <p><b>新页面</b></p><div>多因[[外伤]]、异物或腹内压骤然增高（如剧烈[[呕吐]]或[[分娩]]等）引起，亦有为医源性损伤如作[[食管]]镜、[[胃镜]]时操作不当所致。　　<br /> ==诊断鉴别==<br /> 1.有外伤、[[吞咽]]尖锐异物、[[内窥镜]]检查或剧烈呕吐史。<br /> <br /> 2.剧烈[[胸痛]]，下咽困难，亦有表现为剧烈[[上腹部痛]]而被误诊为[[急腹症]]。<br /> <br /> 3.伤在颈段食管时，[[颈部]]侧位X线片可显示颈后间隙阴影增宽及皮下气肿。伤在胸内食管时可见[[纵隔气肿]]或伴有[[液气胸]]，口服[[碘油]]可见[[造影剂]]逸出食管腔外进入[[纵隔]]或[[胸膜腔]]，有[[纵隔炎]]时可见[[纵隔阴影]]增宽。<br /> <br /> 4.有液气胸时，口服[[美蓝]]后作[[胸腔]]穿刺可抽得蓝染的液体，胸膜腔有感染时穿刺可抽得脓液。<br /> <br /> 5.查体时可发现颈根部有皮下气肿。<br /> <br /> 6.[[食管镜检查]]可见食管壁上裂孔。　　<br /> ==治疗预防==<br /> 1.立即禁食，作[[空肠]]造瘘，控制[[感染]]。<br /> <br /> 2.伤在颈段食管者由颈部作[[引流术]]。<br /> <br /> 3.伤在胸段食管者作[[胸腔闭式引流]]及[[纵隔引流术]]，同时作[[空肠造瘘术]]，如感染严重，应考虑作颈部食管外置术。<br /> <br /> 4.伤在胸段食管且在伤后24小时内已明确诊断，全身情况良好者可考虑[[开胸探查术]][[缝合]]裂口。<br /> <br /> 5.对[[晚期]]作出诊断（伤后超过24小时）的胸段[[食管损伤]]患者，可待纵隔及胸膜腔感染控制及患者全身情况改善后行食管重建术。<br /> <br /> [[分类:疾病]]<br /> ==健康问答网关于食管破裂的相关提问==<br /> &lt;rss title=off time=720000&gt;http://www.wenda120.com/tags/131/rss&lt;/rss&gt;</div>

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