布尔哈夫综合征在重症监护室的管理。

Q3 Medicine

International Journal of Critical Illness and Injury Science Pub Date : 2025-07-01 Epub Date: 2025-09-11 DOI:10.4103/ijciis.ijciis_44_25

Safiya Sherrin, Jasmine Kaur Kochhar, Wafabi Mustafa, Kartik Batham

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引用次数: 0

摘要

布尔哈夫综合征（BS），或自发性食管穿孔，是一种罕见且危及生命的疾病。尽管在医疗和外科治疗方面取得了进步，但BS的死亡率高达50%，并且对诊断和治疗提出了重大挑战。治疗选择包括手术和非手术方法，匹兹堡评分为预测结果和指导治疗提供了有用的工具。并发症如纵隔炎和败血症是常见的。这篇综述探讨了BS的人口统计学、危险因素、临床表现、诊断方式和管理策略。此外，它强调了早期诊断和个体化治疗对改善BS患者预后的重要性。

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Management of boerhaave's syndrome in the intensive care unit.

Boerhaave's syndrome (BS), or spontaneous esophageal perforation, is a rare and life-threatening condition. Despite advancements in medical and surgical management, BS carries a high mortality rate, up to 50%, and presents significant diagnostic and therapeutic challenges. Management options include both surgical and nonoperative approaches, with the Pittsburgh score providing a useful tool for predicting outcomes and guiding treatment. Complications such as mediastinitis and sepsis are common. This review explores the demographics, risk factors, clinical presentation, diagnostic modalities, and management strategies for BS. Furthermore, it stresses the importance of early diagnosis and individualized treatment to improve the outcomes in patients with BS.

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来源期刊

International Journal of Critical Illness and Injury Science Medicine-Emergency Medicine

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： IJCIIS encourages research, education and dissemination of knowledge in the field of Critical Illness and Injury Science across the world thus promoting translational research by striking a synergy between basic science, clinical medicine and public health. The Journal intends to bring together scientists and academicians in the emergency intensive care and promote translational synergy between Laboratory Science, Clinical Medicine and Public Health. The Journal invites Original Articles, Clinical Investigations, Epidemiological Analysis, Data Protocols, Case Reports, Clinical Photographs, review articles and special commentaries. Students, Residents, Academicians, Public Health experts and scientists are all encouraged to be a part of this initiative by contributing, reviewing and promoting scientific works and science.