terrible! The man was drunk and vomited, and the esophagus was "propped" broken

Yangzi Evening News Network, January 30 (correspondent Bao Lijuan reporter Wan Lingyun) Wine is less than a thousand cups for confidants, but Mr. Lin, who is lying on the hospital bed, has paid a heavy price for a dinner. On January 30, the reporter learned from Yangzhong People's Hospital that Mr. Lin actually induced spontaneous esophageal rupture due to vomiting after drinking, and finally the esophagus cracked open a large hole!

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At about 8 p.m. on January 28, Mr. Lin (pseudonym) drank a lot of wine at the party. Soon, I felt nauseous and vomited violently. After vomiting twice, there was a knife-like pain in the chest and back! The family members who knew badly were immediately sent to yangzhong people's hospital.

During the physical examination, the receiving doctor found that the patient had chest tenderness and performed relevant auxiliary examinations to exclude diseases such as gastric duodenal perforation and angina. However, chest CT shows multiple pimples in the right supraclavicular mediastinum, and the lower esophageal structure is unclear, and it is considered that severe vomiting causes esophageal rupture. During the same period, chest CT showed multiple accumulation of air shadow in the right supraclavicular mediastinum, unclear structure of the lower esophagus, and a large number of food residues in the posterior mediastinum.

The doctor immediately seized the time and repaired the "big hole". The key to rescuing patients with ruptured esophagus is to win time, and the longer the time, the more serious the degree of corrosion of the chest cavity and mediastinum by gastric acid. Gao Jie, deputy chief physician of the Department of Thoracic and Cardiac Surgery of Yangzhong People's Hospital, and Zhao Mengmeng, a resident physician, immediately performed emergency surgery for the patient after full communication with the patient and his family.

During the operation, a large amount of food residue was found in the left pleural cavity, and the pleural cavity was repeatedly rinsed with warm salt water to clean the pleural cavity and the mediastinum as much as possible. Upon further exploration, the lower esophageal rupture can be seen to be about 2 cm long. After iodine sterilization, suture the esophageal muscle layer.

Fortunately, the operation went very smoothly and the patient returned to the ICU ward safely. After aggressive anti-infective and nutritional supportive care, the patient is in good condition.

"Every New Year, I will encounter several patients who rupture their esophagus due to vomiting after drinking heavily", said Zhao Mengmeng, an surgeon who said that this situation is urgent, progresses quickly, and if it is not treated in time, sepsis and infectious toxic shock will occur at any time, and life-threatening.

Doctors here remind that after a full meal or alcoholism, too much food in the stomach will lead to increased pressure in the stomach, the middle and lower part of the esophagus is relatively weak, because the vomiting stomach contents are suddenly uploaded, the esophagus may be "braced" broken! At this time, the patient will feel sudden and severe pain in the chest and upper abdomen, such as tearing or knife cutting pain.

"If you find a similar situation, you must treat it as soon as possible and operate early", Zhao Mengmeng also reminded: try not to overeat, drink less, do not persuade alcohol, do not be greedy for a moment and be happy and sad.

Proofread by Xu Heng