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我院自1976年~1996年1220例胸部疾患患者行手术治疗,其中8例并发应激性溃疡大出血。针对开胸病人术后临床特点,应激性溃疡出血是胸外科术后严重并发症之一,死亡率较高,认为对此并发症应予以重视,争取早期诊断,及时治疗。临床资料本组8例,男6例,女2例。年龄46~70岁,平均59岁。术前均经病理检查确诊胸部恶性肿瘤。其中右肺癌全肺切除1例、左肺癌全肺切除1例,肺叶切除4例,纵隔恶性畸胎瘤1例,胸膜恶性间皮瘤1例。术前有溃疡病史1例,慢性又气管炎合并肺气
In our hospital, 1220 cases of chest diseases were treated surgically from 1976 to 1996, and 8 cases were complicated by stress ulcer bleeding. In view of the postoperative clinical characteristics of thoracotomy patients, stress ulcer bleeding is one of the serious complications after thoracic surgery, and the mortality rate is high. It is considered that this complication should be paid attention to for early diagnosis and prompt treatment. Clinical data in this group of 8 cases, 6 males and 2 females. Age 46 to 70 years old, an average of 59 years old. Preoperative chest cancer was diagnosed by pathological examination. Among them, one case of pneumonectomy for right lung cancer, one case of pneumonectomy for left lung cancer, four cases of lobectomy, one case of malignant teratoma of mediastinum, and one case of malignant pleural mesothelioma of pleura. Preoperative history of ulcer in 1 case, chronic bronchitis with lung gas