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食管手术后并发膈疝并不少见,今报告三例如下。例1 女,58岁,因食管中段癌经左胸行切除术并食管胃颈部吻合术。术后第4天腹痛,并呕吐一次为胃内容物,约500毫升。体检除左肺呼吸音偏低外,余无阳性征。X线检查胸腔无积液。此后几天,每日均有阵发性腹痛几次,呕吐2～3次,疑“胸胃症状”和“幽门管痉挛”,对症治疗无效。术后第9天拆线,切口愈合良好,能进少量流
It is not uncommon to have concomitant fistulas after esophageal surgery. This report has three examples. Example 1 Female, 58 years old, was treated with left chest thoracotomy and esophagogastric neck anastomosis due to central esophageal cancer. Abdominal pain on the fourth day after operation and vomiting once for stomach contents, approximately 500 ml. Except for the low left lung breath sounds, there are no positive signs. X-ray examination of the chest without effusion. In the next few days, there were several paroxysmal abdominal pains every day, vomiting 2 to 3 times, suspected “chest and stomach symptoms” and “pyloric tube fistula”, and symptomatic treatment was ineffective. On the 9th day after operation, the incision heals well, and a small amount of flow can be obtained.