作者等从1978年以来收治贲门癌急性大出血共26例。15例进行了手术治疗,其中9例切除癌肿。手术组死亡1例。一般资料 26例中男19例,女7例。年龄42～67岁。所有病例均经上消化道钡餐检查或胃镜检查证实。病程1～6个月。出血量约1000～2500ml,均有不同程度的休克症状和体征。心、肝、肾功能基本正常,血总蛋白>50g/L,白蛋白>30g/L,A/G未倒置。无锁骨上淋巴结转移。2例有轻度腹水,3例合并气管炎、肺气肿。急诊手术切除贲门癌的9例中,经纠正血容量后,7例使用静脉复合全麻,2例硬膜外麻醉加全麻。3例胸骨 The authors have treated 26 cases of acute hemorrhage of cardiac cancer since 1978. Fifteen patients underwent surgical treatment, and 9 of them had cancer. One patient died in the surgical group. General Information 26 cases of 19 males and 7 females. Age 42 to 67 years old. All cases were confirmed by barium meal examination or gastroscopy. Duration of 1 to 6 months. The amount of blood loss is about 1000-2500ml, all have different degrees of shock symptoms and signs. Heart, liver and kidney functions were normal, total blood protein >50 g/L, albumin >30 g/L, and A/G was not inverted. No supraclavicular lymph node metastasis. Two cases had mild ascites, and 3 cases had bronchitis and emphysema. In 9 cases of emergency surgical resection of cardiac cancer, after correcting blood volume, 7 cases used intravenous compound anesthesia, and 2 cases of epidural anesthesia plus general anesthesia. 3 cases of sternum