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食管、贲门癌术后胸腔或腹腔出血为一严重早期并发症,诊断处理不及时可危及病人生命.我院自1964年3月至1990年3月共行食管、贲门癌切除术783例,并发胸或腹腔出血5例,占0.6％,报告如下:5例均为男性,年龄51岁～65岁.食管癌4例(中段3例,下段1例),贲门癌1例.左侧开胸手术4例,右侧1例.全部以胃代食管,其中主动脉弓上吻合3例,弓下吻合和右胸顶吻合各1例.并发胸腔出血2例,胸腔引流量100～200ml/h;腹腔出血3例,腹腔穿刺抽出不凝固的血性液.胸腔引流液和腹腔穿刺液血红蛋白均在50g/L以上,均有失血性休克表现.经输血、升压药及凝血药物治疗无效.1例腹腔出血
Postoperative thoracic cavity or intra-abdominal haemorrhage of esophageal or cardiac cancer is a serious early complication. Diagnosis and treatment cannot endanger the patient’s life in time. Our hospital has been involved in 783 cases of esophageal and cardiac cancer resections from March 1964 to March 1990. Five cases of chest or abdominal hemorrhage (0.6%) were reported as follows: 5 cases were all males, aged 51 to 65 years. 4 cases of esophageal cancer (middle 3 cases, lower 1 case), cardiac cancer 1 case. Left chest There were 4 cases in operation and 1 case in the right side. All of them were substituting gastroesophageal, including aortic arch anastomosis in 3 cases, anastomosis under the arch, and right thorax top anastomosis in 1 case. Chest hemorrhage in 2 cases, chest drainage 100~200ml/h; abdominal cavity Bleeding in 3 cases, abdominal puncture and blood coagulation fluid was not coagulation. Thoracic drainage fluid and hemoglobin in the abdominal puncture fluid were more than 50g/L, both have hemorrhagic shock performance. Transfusion, vasopressors and clotting drug treatment invalid. 1 case of abdominal cavity Bleeding