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本院近十年来有4例贲门癌手术后发生急性胃扩张,给治疗与处理带来相当大的困难。为吸取教训、总结经验。现报道如下: 例1:男性,61岁。于1976年11月21日在静脉复合麻醉下经左胸行贲门癌根治术。术中切除胃4/5,胃食管主动脉弓下吻合术。手术经过顺利,术后第二天拨除胸管,第4天拨除胃管,第6天予以全流,第7天进半流,术后第15天进稀饭2大碗,进食后感上腹胀痛,呕吐数次,不能平卧,但呼吸尚可。胸腹透
In this hospital, there have been 4 cases of acute gastric dilatation after cardiac cancer surgery in the past 10 years, which has brought considerable difficulties to treatment and treatment. To learn lessons and sum up experiences. The report is as follows: Example 1: Male, 61 years old. On November 21, 1976, a left cardiothoracic cancer radical surgery under intravenous anesthesia was performed. Intraoperative removal of the stomach 4/5, gastroesophageal aortic arch anastomosis. After the operation went smoothly, the chest tube was removed on the second day after operation. The stomach tube was removed on the fourth day. The whole flow was delivered on the sixth day, and half flow on the seventh day, and two bowls of porridge were entered on the fifteenth day after the operation. Abdominal pain, vomiting several times, can not lie, but breathing is acceptable. Thoracotomy