Question?問題：

The classic presentation of Boerhaave's syndrome is Mackler's triad. What are the three components of this triad??

布爾哈夫綜合征（Boerhaave's syndrome）典型臨床表現(xiàn)是麥克勒三聯(lián)征。這個三聯(lián)征包括哪三個內(nèi)容？

Answer?答案：

Chest pain, vomiting, and subcutaneous emphysema on exam. In addition, patients are often tachypneic, tachycardic, and may present in shock. There may be decreased breath sounds on the side of perforation or with Hamman's sign.?

胸痛，嘔吐，和體檢有皮下氣腫。另外，患者通常有呼吸困難，心動過速，并可能有休克。穿孔側(cè)呼吸音降低或伴有黑曼征（Hamman's sign）。

參考文獻：

JEM epub 6/27/21