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目的 总结分析食管癌贲门癌手术中意外并发症发生情况及处理方法。方法 对 892例食管癌、贲门癌手术中并发症及处理方法进行回顾性分析。结果 术中意外并发症分别为 :胸主动脉出血 2例 (占 0 .2 2 % ) ,经修补缝合止血 ;奇静脉出血 4例 (占 0 .45% ) ,显露静脉后结扎裂口远近端止血 ;支气管损伤 5例 (占 0 .56% ) ,均予及时修补 ,3例行术后气管切开 ,1例术后死于ARDS,4例愈合良好 ;胸导管损伤 1 2例 (占 1 .35% ) ,缝扎胸导管 ;胃左动脉出血 3例 (占0 .34% ) ,经缝扎残端止血 ;脾脏出血 3例 (占 0 .33% ) ,2例胃短血管回缩出血行脾切除 ,1例包膜撕裂压迫局部止血。结论 术前充分准备 ,术中沉着冷静和扎实的外科基本功对防治术中意外并发症极为重要
Objective To summarize and analyze the occurrence and treatment of unexpected complications in esophageal and gastric cardia cancer surgery. Methods 892 cases of esophageal cancer, cardia cancer surgery complications and treatment were retrospectively analyzed. Results The intraoperative uncomplicated complications were as follows: 2 cases of thoracic aorta bleeding (0.22%), repaired by suture and hemostasis; 4 cases (0.45%) of bleeding caused by azygos vein, ; Bronchial injury in 5 cases (0.56%), were promptly repaired, 3 cases of postoperative tracheotomy, 1 case died of ARDS after surgery, 4 cases healed well; thoracic duct injury 12 cases (accounting for 1. 35%), sutured thoracic duct; 3 cases of gastric left venous hemorrhage (0.34%), stump stump hemostasis; 3 cases of splenic hemorrhage (0.33%), 2 cases of gastric vascular shortening bleeding Splenectomy, 1 case of local tearing oppression of hemostasis. Conclusion Preoperative preparation, calm and solid surgical basic skills in the prevention and treatment of intraoperative uncomplicated complications is extremely important