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1983年我院经尸检证实胸胃坏死并主动脉破裂穿孔而吻合口完好无损一例报告如下。患者男,39岁,因进行性吞咽困难三个月加重二周于1983年7月2日入院。查体:一般情况好,双锁上无肿大淋巴结,心肺及腹部无异常。食道吞钡示主动脉弓下缘2cm以下管腔狭窄、粘膜中断,其上段食管明显扩张。食管拉网查到腺癌细胞。于7月8日全麻下行食管中段癌切除胃食管引上吻合术
In 1983, our hospital confirmed the thoracic stomach necrosis and aortic rupture perforation with an intact anastomosis. The patient, male, 39 years old, admitted to hospital on July 2, 1983 due to progressive dysphagia for three months plus two weeks. Physical examination: In general, there are no enlarged lymph nodes in double locks, and no abnormalities in heart, lungs and abdomen. Esophageal swallowing showed that the lumen of the lower part of the aortic arch was narrowed below 2 cm and the mucosa was interrupted. The esophagus in the upper segment of the aorta was significantly expanded. Esophageal pull network found adenocarcinoma cells. On July 8th, the esophageal midline cancer was resected with gastroesophageal anastomosis under general anesthesia.