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吻合口瘘是食管,胃吻合术后常见的并发症,后果严重,危及生命,死亡率高。本文结合14例吻合口瘘的临床分析,对其预防和治疗的一些问题加以讨论如下。临床资料自1978年5月～1987年8月共行食管贲门癌切除术253例,术后并发瘘14例,发生率为5.5%,占术后各种并发症的首位。(1)性别和年龄:女5例,男9例,40岁以下1例,41岁～60岁13例。(2)肿瘤部位:中段9例,下段1例,贲门4例。肿瘤长度为2.5cm1例,3.5cm2例,5cm4例,5cm 以上3例。(3)
Anastomotic fistula is a common complication after esophagogastric anastomosis. The consequences are serious, life-threatening and the mortality rate is high. This article combines the clinical analysis of 14 cases of anastomotic leakage, and discusses some issues of prevention and treatment as follows. Clinical data from May 1978 to August 1987, a total of 253 cases of esophageal and cardiac cancer resection, 14 cases of postoperative concurrent fistula, the incidence was 5.5%, accounting for the first postoperative complications. (1) Gender and age: 5 females, 9 males, 1 female under 40 years old, and 41 males to 60 years old. (2) Tumor site: 9 cases in the middle segment, 1 in the lower segment, and 4 in the fontanelle. The tumor length was 2.5 cm in 1 case, 3.5 cm in 2 cases, 5 cm in 4 cases, and 5 cm in 3 cases. (3)