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目的探讨食管癌、贲门癌切除术后胸胃穿孔的高危因素,诊断及有效治疗方法。方法回顾性分析1310例食管癌、贲门癌切除术后5例胸胃穿孔的临床资料。结果5例患者均予急诊二次手术处理,4例治愈,1例术后并发吻合口瘘自动出院。结论胸胃穿孔是食管重建术后的严重并发症,早期诊断与及早二次剖胸探查是治疗胸胃穿孔的基本原则。
Objective To investigate the risk factors of thoracic and gastric perforation after esophageal and cardiac resections, diagnosis and effective treatment. Methods A retrospective analysis of 1310 cases of esophageal cancer, cardiac resection in 5 cases of thoracic gastric perforation clinical data. Results All the 5 patients were treated by emergency second surgery, 4 patients were cured, and 1 patient was discharged automatically after operation with anastomotic fistula. Conclusion Thoracic and gastric perforation is a serious complication after esophagectomy. Early diagnosis and early secondary thoracotomy are the basic principles for the treatment of thoracic and gastric perforation.