论文部分内容阅读
目的探讨食管癌并发症的处理及预防。方法回顾分析2004年1月至2008年12月本院收治的食管癌患者65例。结果术后并发吻合口瘘2例,为右侧胸膜顶吻合器吻合,均经保守治疗痊愈。左侧乳糜胸4例,均经保守治疗痊愈。吻合口狭窄3例,行扩张治疗痊愈。左下肺段不张2例,左肺感染3例,无脓胸及术后胸腔出血发生。结论应严格无菌操作,加强术后管理,保持胸腔引流、颈部切口引流通畅。做好术前充分准备,纠正贫血、低蛋白血症、水电解质紊乱,以预防并发症的发生。
Objective To investigate the treatment and prevention of esophageal cancer complications. Methods A retrospective analysis of 65 patients with esophageal cancer treated in our hospital from January 2004 to December 2008 was performed. Results 2 cases of anastomotic fistula occurred after operation, which was anastomosis of the right pleural top stapler and were cured by conservative treatment. Left chylothorax 4 cases were cured by conservative treatment. Anastomotic stenosis in 3 cases, the expansion of cure. Left anterior segment of lung atelectasis in 2 cases, 3 cases of left lung infection, no empyema and postoperative chest hemorrhage occurred. Conclusions Aseptic operation should be strictly followed to strengthen the postoperative management, maintain the chest drainage, and smooth neck drainage. Preoperative preparation, correct anemia, hypoproteinemia, water and electrolyte disorders, to prevent the occurrence of complications.