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我们于1989年2月和1993年9月在纤维胃镜引导下经食管吻合口留置硅胶胃管于十二指肠,胃管输注高营养流质,分别治愈中段食管癌和贲门癌术后胸腔胃瘘和吻合口瘘各1例,现报告如下。 1 临床资料 1.1 病例介绍:例1,女性,60岁。诊断:贲门癌侵犯胃体和食管下段。患者全身情况较差,入院行贲门癌根治、主动脉弓下吻合术,因残胃小,26~#管状吻合器一层吻合未加浆肌层包埋。术后第9日进食流质,次日出现高热、大汗、虚脱状,经禁食和对
In February 1989 and September 1993, we underwent transesophageal anastomoses with an indwelling silicone tube under the guidance of a gastroscope in the duodenum. The gastric tube was infused with high nutrient fluid to cure the middle esophageal and cardiac cancers respectively. One case of fistula and anastomotic fistula was reported as follows. 1 Clinical data 1.1 Case description: Case 1, female, 60 years old. Diagnosis: Gastric cancer invades the lower body of the stomach and esophagus. The patient’s general condition was poor. He was admitted to the hospital for radical gastrectomy and an aortic arch anastomosis. Because the residual stomach was small, 26~# tubular staplers were anastomosis without embolization. On the 9th day after the operation, the patient was consumed with fluids. The next day he developed high fever, sweat, and collapse, and he was fasted and