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Complications and mortality after esophageal perforation have a significant relationship with the time from onset to diagnosis, so it is very important to make a rapid diagnosis of esophageal perforation early.For all patients with neck, chest or abdominal pain after operation of esophageal instruments Patients, due to the possibility of esophageal perforation, have Mackler's triad, that is, vomiting, lower chest pain, and subcutaneous emphysema of the lower neck.The possibility of esophageal perforation should be suspected quickly, and further examination should be done. Chest trauma, especially the esophagus Patients with trauma nearby should routinely check for esophageal damage. When attention is often paid to the occurrence of this disease, combined with relevant medical history, symptoms, signs and necessary auxiliary examinations can be timely and correct diagnosis. Diagnose in time until empyema appears in the later stage, and even find food side to make a diagnosis in chest puncture or chest drainage.

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