上腔静脉综合征的外科治疗（附10例报告）

近四年来我所收治上腔静脉综合征病人１０例，男７例，女３例，年龄２４～６７岁，病因为纵隔肿瘤者４例，余６例为血栓性阻塞，本组施行开胸转流或病变切除或加心包补片术８例，施颈内静脉－下腔静脉转流和大隐静脉颈内静脉转流术各１例，结果：２例于术后１个月将出院时分别死于误吸和肿瘤脑转移，随访８例，７例明显改善，１例好转，我们认为：当条件允许时对本病应尽量采用经胸手术途径，以直接观察，治疗病变，达到更好疗效。

Surgical management of superior venae cava syndrome

In recent 4 years,10 cases with superior vena cava syndrome were admitted to our hospital. There were 7 males and 3 females. The age was from 24 to 67 years old. The etiology included mediastinal neoplasms in 4 and thrombotic lesions in 6 cases. Surgical procedures were various intrathoracic bypasses or thromboendavenectomy with pericardial patching graft in 8 cases,internal jugular-inferior vena caval shunt and saphenous-internal jugular shunt each in one case respectively. Two patients died one month after operation just before their discharge one was due to mis-aspiration and the other one was due to cerebral metastasis. Follow-up of the rest 8 cases found 7 cases had obvious marked effect and one was improved.The conclusion is that the direct thoracic approach that can observe and treat lesions directly and thus gives effect better than the extrathoracic approaches.