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自1992年6月至1996年5月,我们采用食管胃转流术治疗食管癌并发食管气管瘘3例,取得一定疗效,现报告如下: 1 病例 例1,男,43岁,咽后胸骨后刺痛不适半年,饮水呛咳2个月。经纤维胃镜和食管造影确诊为食管中段癌并发食管左主支气管瘘。于1992年6月12日全麻下行食管胃转流吻合术,术后第2天发生呼衰,急行气管切开后好转。术后25天痊愈。院外接受化疗。随访:8个月后死亡。 例2,男,46岁,进食梗噎伴胸骨后疼痛1年,饮水呛咳25天。经纤维胃镜和食管造影确诊为食管中段癌并发食管左主支气管痿。于1995年3月13日全麻下行食管胃转流吻
From June 1992 to May 1996, we used esophagogastric bypass in the treatment of esophageal cancer complicated by esophageal tracheal fistula in 3 cases. The results are as follows: 1 Case 1, male, 43 years old, posterior pharyngeal retrosternal Tingling discomfort for six months, drinking water cough 2 months. The gastroscopic endoscopy and esophageal angiography confirmed the diagnosis of a middle esophageal cancer complicated with a left main bronchospasm of the esophagus. On June 12, 1992, anesthesia with esophageal and gastric bypass was performed under general anesthesia. Respiratory failure occurred on the second day after operation, and it improved after tracheotomy. 25 days after surgery healed. Outside the hospital receive chemotherapy. Follow-up: Death after 8 months. Example 2, male, 46 years old, 1 year after eating strangulated with sternum, drinking water cough for 25 days. The gastroscopic endoscopy and esophageal angiography confirmed the diagnosis of a middle esophageal cancer complicated with a left main bronchospasm of the esophagus. On March 13, 1995, the esophagogastric reflux kisses under general anesthesia