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1案情简介患者杨某,女,60岁。因进行性吞咽困难3个月,于2012年3月15日在A院行胃镜检查示“食道癌可能”。病理报告示:鳞癌。2012年3月17日入住A院普外科,4月10日在全麻下行“食管癌切除、食管胃主动弓上吻合术”。4月28日(术后18 d)初步诊断为吻合口瘘,并告病危及给予外科一级护理。5月24日(术后44 d)诊断为吻合口瘘,请某三级甲等医院(以下简称B院)胸外科会诊协助诊治。2012
1 case profile Yang, female, 60 years old. Due to progressive dysphagia for 3 months, on March 15, 2012 in a hospital gastroscopy showed “Esophageal cancer may ”. Pathology report showed: squamous cell carcinoma. March 17, 2012 admitted to a hospital general surgery, April 10 in general anesthesia “esophagectomy, esophageal active bow anastomosis.” On April 28 (after 18 days), an initial anastomosis fistula was diagnosed, and the first grade nursing care was given at the risk of disease. On May 24 (44 days after operation), anastomotic fistula was diagnosed. Thirteen Grade A hospitals (hereinafter referred to as “B” hospitals) were invited to assist in the diagnosis and treatment of thoracic surgery. 2012