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我院于1966年6月至1996年3月共手术切除食管贲门癌2461例,术中发生手术意外(不包括心肺等内科疾患的意外)15例。分析讨论如下。 1临床资料胸主动脉出血3例:其中1例为食管癌向外侵犯累及固有动脉上支,在探查并试行分离时误伤该动脉,即请心血管外科医师协助修补。先用无损伤血管钳钳夹血管侧壁后进行修补,但因严重动脉硬化,修补失败。其后用血管补片修补,因管壁质脆,造成裂口越来越大,最终修补失败,病人死亡。另2例分别为固有动脉上下支残端回缩,出血(1例因肿瘤外侵,残端过短,结扎时出血;另1例为结扎线脱落出血)。这2例均先用手指按压10分钟,见出血基本停止。其后用病人本
In June 1966 to March 1996, 2461 cases of esophageal and cardiac cancer were surgically resected in our hospital. There were 15 surgical accidents (excluding accidents of internal medicine such as cardiopulmonary diseases) during the operation. Analysis and discussion are as follows. 1 clinical data of thoracic aortic bleeding in 3 cases: 1 case of esophageal cancer involvement of the upper extremity involvement of the superior arterial branch, in the exploration and trial separation accidentally injured the artery, that the cardiology surgeon to help repair. First repair with a non-invasive vascular forceps to clamp the vascular wall, but failed due to severe arteriosclerosis. Afterwards, it was patched with a vascular patch. Because the wall of the tube was brittle, the rift was getting larger and larger, and eventually the repair failed and the patient died. The other two patients had retraction of the proper arterial superior and inferior stumps, and bleeding (1 case was due to extravasation of the tumor, the stump was too short, bleeding occurred at ligation; the other case was ligation line bleeding). Both of these cases were first pressed with a finger for 10 minutes, and the bleeding stopped. Then use the patient’s book