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本文报告了我院自1975年12月至1992年12月底施行食管贲门癌切除4216例,发生吻合口瘘92例,其中被证实为胸胃部分坏死穿孔者8例,发生率为0.2%;死亡5例,致死率为62.5%。本文结合有关文献和临床资料,讨论了胸胃部分坏死穿孔的原因,与吻合口瘘的鉴别和治疗原则,还初步探索了该并发症的实际发生率和命名。
This article reports that in our hospital from December 1975 to December 1992, 4216 cases of esophageal and cardiac cancer resection were performed. 92 cases of anastomotic leakage occurred. Among them, 8 cases were confirmed as thoracic gastric necrosis and perforation. The incidence was 0.2%. ; Death in 5 cases, the fatality rate was 62.5%. This article, combining relevant literature and clinical data, discusses the causes of thoracic gastric necrosis and perforation, and the principle of identification and treatment of anastomotic leakage, and also explores the actual incidence and nomenclature of this complication.