论文部分内容阅读
食道、贲门癌切除术后仍有约4.8～25％的病例发生吻合口瘘。本院在1966～1976年间,据不完全统计,食道胃吻合口瘘的发生率曾一度高达13.6％。自1978年5月至1982年6月,我们加强了术前准备与术后护理,并对手术操作做了一些改进,在44例食道癌和61例贲门癌的切除术中,仅3例术后发生吻合口瘘(发生率为2.8％),其中食道癌做左颈部吻合2例,1例全身营养情况差,有低蛋白血症(血清蛋白2.75mg％),发生吻合口瘘后经局部引流治愈出院;另1例为食道未分化癌,做姑息性切除术后40天,因腹腔内肿瘤广泛转移,幽门区受肿大淋巴结压迫,引起
Esophageal and cardiac cancers still have about 4.8 to 25% of cases with anastomotic leakage. In the hospital from 1966 to 1976, according to incomplete statistics, the incidence of esophageal gastric anastomotic leakage was once as high as 13.6%. From May 1978 to June 1982, we strengthened preoperative preparation and postoperative care, and made some improvements in surgical procedures. In 44 cases of esophageal cancer and 61 cases of cardiac cancer resection, only 3 cases were performed. After the occurrence of anastomotic leakage (incidence was 2.8%), of which esophageal cancer left neck anastomosis in 2 cases, 1 case of poor general nutrition, hypoalbuminemia (serum protein 2.75mg%), after the occurrence of anastomotic leakage after Local drainage was cured and discharged; the other case was undifferentiated esophageal cancer. After palliative resection for 40 days, the pyloric area was compressed by enlarged lymph nodes due to extensive metastasis of intra-abdominal tumors.