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临床资料2012年1月至2013年6月上海市浦东医院胸外科3例患者经胃镜检查确诊为食管中下段癌,其中男2例、女1例,年龄59~72(64.2±5.2)岁,鳞状细胞癌2例,腺癌1例。均采用主动脉弓上吻合;右侧开胸1例,左侧开胸2例。术中3例均留置胃肠减压管及肠内营养管,胃食管吻合均采用机械吻合。2例于术后第5 d、1例于术后第7 d发生胸内吻合口瘘,3例患者均出现发热、胸闷、气促等表现,胸部CT提示液气胸,口服亚甲蓝或泛影葡胺造影证明
Clinical data January 2012 to June 2013 Shanghai Pudong Hospital Thoracic surgery in 3 patients diagnosed by gastroscopy in the lower esophageal cancer, including 2 males and 1 females, aged 59 to 72 (64.2 5.2) years old, Squamous cell carcinoma in 2 cases, adenocarcinoma in 1 case. Aortic arch on the use of anastomosis; right thoracotomy in 1 case, left thoracotomy in 2 cases. Intraoperative three cases were placed in the gastrointestinal decompression tube and enteral nutrition tube, gastroesophageal anastomosis were used mechanical anastomosis. 2 cases had intrathoracic anastomotic fistula on the 5th day after operation, 1 case had thoracic anastomotic fistula on the 7th day after operation, 3 cases showed fever, chest tightness, shortness of breath and so on. Chest CT showed liquid pneumothorax, oral methylene blue or pan Meglumine diazepam