贲门癌并急性大出血的外科治疗：附8例报告

报告8例贲门癌并急性大出血患者,其中7例进行了手术治疗,1例保守治疗。作者提出中年以上患者上消化道大出血时应考虑有责门癌并急性大出血的可能,责门癌并急性大出血并不意味着病变已发展到晚期,切除率仍然很高,对手术治疗应持积极态度。关于责门癌并急性大出血的诊断及手术时机的选择作者介绍了自己的体会,强调如病情允许,在出血48小时内进行内窥镜检查可尽快明确诊断。手术切口的选择要根据病人具体情况确定。

THE SURGICAL TREATMENT OF CARDIAL CANCER COMPLICATED BY ACUTE MASSIVE BLOODING: 8 CASES REPORT

Eight cases of cardial cancer complicated by acute massive blooding were reported. Of all the patients, 7 were treated operatively, 1 was treated conservatively. The authors pointed out that the possibility of cardial cancer should be considered when the elder patients developed a acute massive hamorrahge in upper alimenory tube. The cardial cancer complicated by acute massive blooding does not mean that it is advanced to the late stage and the incision rate is also very high, operation should be considered actively. In this paper the authors presented their views about the diagnosis, the selection of operative time in patients with cardial carcinoma acompanied with acute massive blooding, and also emphasize that the endoscopy may be helpfull for diagnosis, the choice of operation should depend on the patients' general condition.