布尔哈维综合征相关的瘤的内镜治疗
Christopher Chan1, Yueming Liang1,2, Tommy Wing Ho Yip1
1Department of Medicine and Therapeutics Prince of Wales Hospital, The Chinese University of Hong Kong Hong Kong SAR China.
Respirology case reports
|January 9, 2026
概括
博尔哈夫综合征复杂化Empyema需要及时识别和管理. 早期诊断和治疗,包括膜排水和内镜食道修复,对于控制败血症和改善结果至关重要.
科学领域:
- 胸部外科手术 胸部外科手术
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
背景情况:
- 肺和Boerhaave综合征是危急的,危及生命的疾病.
- 博尔哈夫综合征是一种食道破裂,可以导致严重的并发症,如.
研究的目的:
- 突出了怀疑Boerhaave综合征在empyema的情况下的重要性,即使没有经典症状.
- 介绍一个博尔哈夫综合征的病例与和它的成功管理.
主要方法:
- 案例报告的呈现方式.
- 使用对比增强计算机断层扫描 (CT) 来检测食道泄漏的诊断评估.
- 治疗涉及到多发性排水,静脉注射抗生素和内镜食道修复.
主要成果:
- 通过充分的腹腔排水和及时的内镜食道修复,成功控制了败血症和实现了临床改善.
- 吐后出现的Candida参与的多微生物瘤表明Boerhaave综合征,尽管没有Mackler的三元组.
结论:
- 早期识别Boerhaave综合征和empyema之间的联系对于及时干预至关重要.
- 增强对比度的CT对于诊断食道泄漏至关重要.
- 内镜修复是选择患者的手术可行的替代方案,包括那些出现延迟的患者.
更多相关视频
相关概念视频
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
512
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
512
Esophageal Perforation-II: Clinical Manifestations and Management
490
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
490
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
548
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
548
Endoscopic Procedures V: ERCP
2.7K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
2.7K
Endoscopic Studies II: Thoracocentesis
1.2K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.2K


