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1 材料和方法1993-06/1998-06手术治疗60岁以上此类患者33例,其中男19例,女14例,年龄60岁～78岁,平均67.5岁.食管癌23例,贲门癌10例.术前伴慢性支气管炎、肺气肿3例,高血压5例,冠心病7例,心电图检查有异常者10例.均干气管插管、静脉复合麻醉下剖左胸手术:食管癌行食管次全切除、食管胃颈部吻合21例,主动脉弓下吻合2例;贲门癌行上半胃切除,食管胃主动脉弓下吻合9例,单纯探查1例.按世界卫生组织对糖尿病的诊断标准确立诊断.均为非胰岛素依赖型糖尿病,空
1 Materials and Methods 1993-06 / 1998-06 Surgical treatment of 33 patients over the age of 60 such patients, 19 were male and 14 females, aged 60 to 78 years, mean 67.5 years old. Esophageal cancer in 23 cases, cardia cancer 10 Preoperative with chronic bronchitis, emphysema in 3 cases, 5 cases of hypertension, 7 cases of coronary heart disease, ECG abnormalities in 10 cases were dry tracheal intubation, intravenous anesthesia under the left thoracic surgery: esophageal cancer 21 cases underwent esophagogastric cervical anastomosis and 2 cases underwent aortic arch anastomosis.The gastric cardia carcinoma underwent upper half gastrectomy, esophageal and gastric aortic arch anastomosis in 9 cases and simple exploration in 1 case.According to the World Health Organization’s diagnostic criteria of diabetes Establish a diagnosis of non-insulin-dependent diabetes, empty