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目的总结胃恶性肿瘤术后并发症的发生原因及防治方法。方法对2000年1月至2009年12月623例行胃恶性肿瘤手术后发生严重并发症的19例(3.05%)病人的临床资料进行回顾性分析。结果 19例中,术后大出血6例,吻合口漏4例,膈下感染(脓肿)4例,完全性肠梗阻3例,内疝2例。经积极处理,19例均获愈。结论胃恶性肿瘤术后并发症发生率较高、种类多,部分因病人特殊条件和体质造成,加强围手术期处理、充分的术前准备、仔细的术中操作及严密的术后观察有利于减少和及时处理各种并发症,防止严重后果的发生。
Objective To summarize the causes and prevention and cure of postoperative complications of gastric malignant tumor. Methods A retrospective analysis was performed on the clinical data of 19 cases (3.05%) of 623 patients with severe malignant tumor after surgery between January 2000 and December 2009. Results In 19 cases, postoperative hemorrhage in 6 cases, anastomotic leakage in 4 cases, subphrenic infection (abscess) in 4 cases, complete intestinal obstruction in 3 cases, internal hernia in 2 cases. After active treatment, 19 cases were cured. Conclusions The incidence of postoperative complications of gastric malignancies is high, and there are many kinds of postoperative complications. Due to the special conditions and physical constitution of patients, the perioperative management, adequate preoperative preparation, careful intraoperative operation and close postoperative observation are beneficial Reduce and promptly deal with various complications, to prevent the occurrence of serious consequences.