中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
12期
77-78
,共2页
曹恒昌%范昭%王永剑%乌达
曹恆昌%範昭%王永劍%烏達
조항창%범소%왕영검%오체
食管癌%贲门癌%吻合口瘘
食管癌%賁門癌%吻閤口瘺
식관암%분문암%문합구루
Esophageal carcinoma%Carcinoma of gastric cardia%Fistula in the anastomotic stoma
目的 探讨食管癌贲门癌术后吻合口瘘的治疗方法 的改进.方法 对食管癌贲门癌手术后出现吻合口瘘的27例患者,分别于确诊的当日或第一日行胃造口术,置入双管,行胃肠减压和肠道内营养支持治疗.结果 25例患者痊愈出院2例患者因重度感染性休克,多器官衰竭死亡.结论 经胃双管法的胃肠减压和肠内营养可有效地促进吻合口瘘的愈合,显著降低食管手术吻合口瘘的死亡率.
目的 探討食管癌賁門癌術後吻閤口瘺的治療方法 的改進.方法 對食管癌賁門癌手術後齣現吻閤口瘺的27例患者,分彆于確診的噹日或第一日行胃造口術,置入雙管,行胃腸減壓和腸道內營養支持治療.結果 25例患者痊愈齣院2例患者因重度感染性休剋,多器官衰竭死亡.結論 經胃雙管法的胃腸減壓和腸內營養可有效地促進吻閤口瘺的愈閤,顯著降低食管手術吻閤口瘺的死亡率.
목적 탐토식관암분문암술후문합구루적치료방법 적개진.방법 대식관암분문암수술후출현문합구루적27례환자,분별우학진적당일혹제일일행위조구술,치입쌍관,행위장감압화장도내영양지지치료.결과 25례환자전유출원2례환자인중도감염성휴극,다기관쇠갈사망.결론 경위쌍관법적위장감압화장내영양가유효지촉진문합구루적유합,현저강저식관수술문합구루적사망솔.
Objective To investigate the improvement in therapies of postoperative fistula in the anastomotic stoma of carcinoma of esophagus or gastric cardia.Methods 27cases of carcinoma of esophagus or gastric cardia,which were found postoperative fistula in the anastomotic stoma,received gastrostomize with double vessel by which gastrointestinal decompression and intestinal tract nutritional support were taken.Results 25 patients fully recovered to leave hospital.while 2 cases died of severe septic shock and multiple organ failure.Conclusion Therapies of gastrointestinal decompression and intestinal tract nutritional support by gastrostomize with double vessel could efficiently promote healing of fistula in the anastomotic stoma,degrade the death rate notably.
