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目的 探讨采用胸内置管并低负压吸引的方法治疗食管癌手术后吻合口漏。方法 将采取不同手术术式行食管癌根治术后发生吻合口瘘的 37例病人 ,根据吻合口瘘的位置及大小采用胸腔置双管的方法进行循环胸腔灌洗 ,低负压引流 ,记录冲洗后体温下降的时间、胸内冲洗物细菌培养转阴率。结果 与同期行常规引流病人 2 2例 ,经胸腔冲洗后患者体温下降、胸腔冲洗物细菌转阴率的比较 ,本组在置管后 4 8h体温明显下降 ,平均细菌转阴率是常规组的两倍。结论 胸腔灌洗法治疗由食管癌引起的脓胸较常规治疗方法在缓解病人症状、改善吻合口瘘的内环境、促使局部细菌转阴、缩短病人住院时间等方面有显著优越性
Objective To investigate the use of intrathoracic catheterization and low suction to treat anastomotic leakage after esophagectomy. Methods Thirty-seven patients with anastomotic fistula after radical resection of esophageal cancer underwent radical thoracic lavage and low-pressure drainage according to the location and size of anastomotic fistula, After the body temperature drops, thoracic wash bacterial culture negative rate. Results Compared with the routine draining patients in the same period, 22 patients underwent routine thoracic rinse, the body temperature decreased and the rate of bacterial transfusion in pleural effusions was decreased. The temperature of 48 h after catheterization decreased significantly in this group, double. Conclusion Thoracic lavage treatment of empyema caused by esophageal cancer than the conventional treatment of patients with symptoms, to improve the anastomotic fistula within the environment, to promote local bacteria negative, shorten the hospitalization of patients with significant advantages