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[食管癌与贲门癌术后胸胃及颈部胃壁大面积坏死穿孔:9例分析]

[Thoracic gastric and large area necrotic perforation of the neck gastric wall after surgery of esophageal and cardial cancer: analysis of 9 cases].

作者信息

Lu Z T, Sun G W, Zhu R

机构信息

Jinan Area General Hospital, People's Liberation Army.

出版信息

Zhonghua Wai Ke Za Zhi. 1994 Sep;32(9):559-60.

PMID:7720430
Abstract

Nine cases of gastric perforation after operation for esophageal were reported. Eight cases were esophageal cancer. One case was cardial cancer. Five of the nine cases were anastomosed in intrathorax, and four in neck. Intrathoracic gastric perforation occurred in six cases. Five of them were operated on again. Gastric perforation in neck occurred in three cases. The nine cases were all cured. This article analysed the reasons of the gastric perforation and emphasised that early diagnosis, early operation or drainage in neck were the key steps in treatment.

摘要

报告了9例食管癌手术后胃穿孔的病例。其中8例为食管癌,1例为贲门癌。9例中有5例在胸腔内吻合,4例在颈部吻合。6例发生胸腔内胃穿孔,其中5例再次手术。3例发生颈部胃穿孔。9例均治愈。本文分析了胃穿孔的原因,并强调早期诊断、早期手术或颈部引流是治疗的关键步骤。

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