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食管癌术后胸胃穿孔的可能原因探讨
引用本文:沈中林,许林,袁锦华,梅一兴. 食管癌术后胸胃穿孔的可能原因探讨[J]. 淮海医药, 2003, 21(3): 179-180
作者姓名:沈中林  许林  袁锦华  梅一兴
作者单位:1. 江苏省泰州市第四人民医院,胸外科,225300
2. 江苏省肿瘤医院,胸外科,江苏,南京,210009
摘    要:目的 探讨食管癌术后胸胃穿孔的可能原因。方法 食管癌术后并发胸胃穿孔 11例 ,处理 7例手术 ,4例保守治疗。结果  9例治愈 ,2例死亡。结论 导致胸胃穿孔的主要原因可能是局部血运障碍造成胃壁坏死穿孔 ,治疗上应早期诊断 ,及时二次开胸修补

关 键 词:食管肿瘤  胃穿孔  外科手术  回顾性研究
文章编号:1008-7044(2003)03-0179-02
修稿时间:2002-10-14

Study on the reasons of gastric perforation after the resection of esophageal carcinoma
SHEN Zhong lin,XU Lin,YUAN Jin hua,et al.. Study on the reasons of gastric perforation after the resection of esophageal carcinoma[J]. Journal of Huaihai Medicine, 2003, 21(3): 179-180
Authors:SHEN Zhong lin  XU Lin  YUAN Jin hua  et al.
Abstract:Objective To investigate the reasons of gastric perforation after resection of esophageal carcinoma.Methods After resection of esophageal carcinoma,11 cases were diagnosed as gastric perforation.Among them 7 patients were managed surgically,the other 4 cases were treated conservatively.Results Nine cases were cured and 2 cases died.Conclusion The reasons of gastric perforation after resection of esophageal carcinoma might be gastric necrosis due to local ischemia.Once the diagnosis is established reoperation should be carried out immediately.
Keywords:Esophageal neoplasms  Gastric perforation  Surgery  Retrospective study
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