论文部分内容阅读
食管癌切除术后发生胸胃穿孔,是食管癌手术后一种较少见的并发症。自1980年吴氏报道3例,近年来文献陆续有报告。我们在1980～1991年间,共手术切除食管癌347例,其中并发胸胃穿孔3例,其发生率为0.86％。3例均经手术修补治愈。现报告如下:1 病例介绍例1,男,47岁。食管中段癌。经右胸3切口行全胸食管切除,食管胃左颈部吻合术。手术顺利。3天拔胸管,9天经口饮水。11天始,出现间歇热,频呕,上腹阵痛。尿淀粉酶>3200u。胸透正常。考虑并发空肠近端梗阻与急性胰腺炎。第14天,突发右胸剧痛,
Thoracic perforation after resection of esophageal cancer is a rare complication after esophageal cancer surgery. Since 1980, Wu has reported 3 cases. In recent years, the literature has reported one after another. During the period from 1980 to 1991, we performed a total of 347 cases of esophageal cancer, including thoracic gastric perforation in 3 cases. The incidence rate was 0.86%. All 3 cases were cured by surgical repair. The report is as follows: 1 Case introduction example 1, male, 47 years old. Middle esophageal cancer. Thoracic esophagectomy through the right chest 3 incision, esophagogastric left and neck anastomosis. The operation went smoothly. 3 days to pull the chest tube, 9 days drinking water. At the beginning of 11 days, there was intermittent heat, frequent vomiting, and epigastric pain. Urine amylase >3200u. Chest chest normal. Consider concurrent proximal jejunal obstruction and acute pancreatitis. On the 14th day, sudden right chest pain,