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本院于1993年1月—1994年12月间食管癌切除术120例,共发生动力性胃排空障碍3例,经治疗,均痊愈出院。现报告如下。临床资料本组3例均为女性。2例60岁,1例30岁。2例为食管中段癌,经左胸行食管中段癌切除、食管—胃左颈部吻合术;1例为食管下段癌,经左胸行食管下段癌切除、食管—胃弓下吻合术。拔除胃管时间:2例为术后第5天,1例为术后第6天。进流质饮食时间:均为术后第6天。发病时间:2例在术后第6天,1例在术后第8天。症状:胸闷、气急、心慌、呕吐。呕吐物:2例为混有所进流质的液体,1例为咖啡色样液体。胸透:均有胸胃扩张,占同侧胸腔横径之70—
In this hospital from January 1993 to December 1994, 120 cases of esophageal cancer resection, a total of 3 cases of dynamic gastric emptying disorders, after treatment, were cured and discharged. The report is as follows. The clinical data of this group were all 3 women. Two cases were 60 years old and 1 was 30 years old. Two cases were middle esophageal cancer. The left esophagus was followed by resection of the middle esophagus and esophagogastric-left gastric neck anastomosis. One case was the lower esophageal cancer. The left esophagus underwent lower esophageal cancer resection and esophageal-subungual anastomosis. Gastric tube removal time: 2 cases were postoperative day 5, and 1 case was postoperative day 6. Into the liquid diet time: are the first 6 days after surgery. Onset time: 2 cases on the 6th postoperative day, 1 case on the 8th postoperative day. Symptoms: chest tightness, shortness of breath, palpitation, vomiting. Vomit: 2 cases were mixed fluids and 1 case was brown fluid. Chest thoracic: There are thoracic and stomach dilatation, accounting for 70 of the ipsilateral thoracic diameter.