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本文报告575例食管、贲门癌切除术后的并发症48例(56例次),发生率9.73％,其中吻合口痿15例,喉返神经麻痹6例,肺炎、结肠梗阻、单纯性脓胸各5例,肠段通过膈肌切口疝入胸腔4例,其它有右侧挠神经麻痹、结肠中动脉损伤、乳糜胸等。48例中34例经手术或非手术疗法治愈,5例残留永久性功能障碍,9例死亡。对吻合口瘘、肺炎、结肠梗阻,肠段通过膈肌切口疝入胸腔等主要并发症发生的原因及防治进行了分析和讨论。
This article reported 575 cases of complications of esophageal and cardiac cancer after complications in 48 cases (56 cases), the incidence of 9.73%, of which 15 cases of anastomotic leakage, recurrent laryngeal nerve paralysis in 6 cases, pneumonia, colon obstruction, simple empyema In 5 cases, the bowel segment was infiltrated into the thoracic cavity by a diaphragmatic incision in 4 cases. Others included right phrenic nerve palsy, middle colon artery injury, and chylothorax. Of the 48 cases, 34 cases were cured by surgery or non-surgical treatment, 5 cases had permanent permanent dysfunction, and 9 cases died. The causes and prevention of major complications such as anastomotic leakage, pneumonia, colon obstruction, and intestine rupture through diaphragmatic incision into the thoracic cavity were analyzed and discussed.