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患者,男,65岁。因食管癌于2008年4月17日在我院行右胸及腹部二切口食管癌根治术,术后病理诊断为高分化鳞状细胞癌,侵及中肌层。术后恢复可,未放化疗。患者术后1年及2年半时均出现肠梗阻,保守治疗后恢复。于2013年11月11日早上因暴食后出现全腹疼痛,伴恶心,呕吐,吐胃内容物,持续加重,肛门停止排气排便。于11月15日凌晨6点以“食管癌术后:(1)肠梗阻;(2)复发转移?”收入院。站立位腹部平片双膈下未见明显游离气体影,腹内见肠曲积气,肠曲不扩张,未见明显液平
Patient, male, 65 years old. Due to esophageal cancer on April 17, 2008 in our hospital right chest and abdominal incision esophageal cancer radical surgery, postoperative pathological diagnosis of well-differentiated squamous cell carcinoma, invasion and in the muscle layer. Postoperative recovery can be, no radiotherapy and chemotherapy. Patients with intestinal obstruction at 1 year and 2 and a half years postoperatively recovered after conservative treatment. In the morning of November 11, 2013 morning after full abdomen due to abdominal pain, with nausea, vomiting, vomiting stomach contents, continued to increase, anal stop exhaust bowel. At 6:00 on November 15 to "esophageal cancer after surgery: (1) intestinal obstruction; (2) recurrence and metastasis? Standing position abdomen flat film under the diaphragm no obvious free gas shadow, intra-abdominal see intestinal song gas, intestinal song does not dilate, no significant level