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本组手术治疗食管贲门癌1,512例,其中住院期间死亡39例,死亡率为2.58％,其中死于吻合口瘘16例,心力衰竭6例,呼吸衰竭6例,全身衰竭3例,胸腔感染2例和其他原因6例。 死于术后第1周内20例(51.3％),第2周内10例(25.9％)。 本组死亡原因可能与下列因素有关:(1)手术适应症掌握不严,(2)术前同时患有其他疾病较多,(3)术前准备不充分,(4)手术切除范围较大,(5)术后并发症处理不当。
This group of surgical treatment of esophageal and cardiac cancer 1,512 cases, of which 39 cases died during hospitalization, the mortality rate was 2.58%, including 16 cases died of anastomotic leakage, 6 cases of heart failure, 6 cases of respiratory failure, 3 cases of systemic failure, chest infection2 Cases and other reasons in 6 cases. Death occurred in 20 cases (51.3%) within 1 week after operation and 10 cases (25.9%) in 2 weeks. The cause of death in this group may be related to the following factors: (1) Sperm indications are not strictly controlled, (2) There are more other diseases before the operation, (3) Insufficient preoperative preparation, (4) The scope of surgical resection is larger , (5) Improper handling of postoperative complications.