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1974年6月到1987年6月我们对1643例食管、贲门癌行根治性切除、食管和胃肠吻合。术后发生吻合口瘘54例,其中治愈36例,死亡18例(10例自动出院按死亡计)。我们对吻合口瘘的治疗经验是积极引流、控制感染、维持营养和水电解质平衡,促进瘘口的愈合。颈部瘘者采取直接切开引流,保持创口清洁,同时采
From June 1974 to June 1987, we performed radical resections, esophageal and gastrointestinal anastomosis in 1,643 esophageal and cardiac cancers. There were 54 cases of anastomotic fistula after operation, of which 36 cases were cured and 18 cases died (10 cases were automatically discharged from hospital by death). Our experience in the treatment of anastomotic leakage is active drainage, control of infection, maintenance of nutrition and water-electrolyte balance, and promotion of fistula healing. The neck snorers should take a direct incision and drainage to keep the wound clean and at the same time