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本文报道食管癌患者术后胃泌酸能力下降,腹腔胃肠运动亢进,十二指肠移位变形,胸胃蠕动减弱,肢体出现隐性水肿。上述变化与胃肠移位、切断迷走神经、胃粘膜萎缩和低蛋白血症等有关。建议手术时不加作幽门成形术,进食后应半卧位休息。术后肺功能降低,程度与全肺切除近似,应重视该项检查,术中注意保护肺功能。循环系统功能变化不明显,选例时可以放宽对心脏的要求。器官机能降低程度与手术并发症发生率一致,提示二者有一定关联。
This article reported that patients with esophageal cancer had decreased gastro-oxygenase postoperatively, abdominal gastrointestinal hyperactivity, duodenal shift deformation, weakened thoracic gastric peristalsis, and subtle edema of limbs. These changes are related to gastrointestinal translocation, transection of the vagus nerve, gastric mucosal atrophy, and hypoproteinemia. It is recommended that pylorus surgery be not performed during surgery and rest should be taken in a semi-recumbent position after eating. Postoperative pulmonary function was reduced, and the degree was similar to pneumonectomy. Attention should be paid to the examination and the lung function should be protected during surgery. The function of the circulatory system is not obvious, and the requirements for the heart can be relaxed in the selection. The reduction in organ function was consistent with the incidence of surgical complications, suggesting a certain correlation between the two.