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[误服“烧碱”所致食管狭窄、食管气管瘘并发性胃溃疡]

[Esophageal stenosis and esophagotracheal fistula with concomitant gastric ulcer in "caustic soda" ingestion].

作者信息

Sabău D, Drăghicescu M, Dobre M, Popescu O, Popa I, Giurgea A

机构信息

Secţia Chirurgie, Spitalul Judeţean Brăila.

出版信息

Chirurgia (Bucur). 1996 May-Jun;45(3):133-7.

PMID:9019267
Abstract

The article deals with a special case through it's gravity and lesional complexity. A forty years old ill person with esophagus stenosis and postcaustic esophagotracheal fistula, having both a gastric ulcer on the date of surgery is operated in three stages: 1. Vagotomy, pyloroplasty and gastrotomy. 2. Esophagectomy with Kirschner-Nakayama gastric grafting. Posterior tracheorraphy with esophageal muscular patch. 3. Anastomotic cervical stenosis--plastic replacement (grafting) with a fat-less skin.

摘要

本文通过其严重性和病变复杂性探讨了一个特殊病例。一名40岁患有食管狭窄和腐蚀性食管气管瘘且在手术当天患有胃溃疡的患者分三个阶段进行手术:1. 迷走神经切断术、幽门成形术和胃切开术。2. 采用基尔希纳-中山氏胃移植术进行食管切除术。用食管肌片进行气管后壁缝合术。3. 吻合口颈部狭窄——用无脂肪皮肤进行整形置换(移植)。

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