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目的 探讨实行食管癌及受其侵蚀的主动脉壁联合切除术的方法。方法 1994年3月、6月及1996年2月分别对3例上述病人,在常温下施行主动脉-主动脉转流的体外循环,切除受食管癌侵蚀的部分主动脉壁,用人造血管片修补,鱼精蛋白拮抗。尔后切除食管癌,行食管胃吻合。结果 3例病人恢复良好,无梗噎,2例健在,1例1年8个月后死于肝病。结论 此种方法属根治性手术,切除彻底,减少污染,适于肿瘤与大动脉粘连、浸润而未达全层之病人。术中应采取保温措施,预防心律紊乱。保持足够的灌注量,维持血压。
Objective To explore the method of combined esophageal cancer and erosion of aortic wall. Methods Three cases of the above patients were performed in March, June and February of 1994. They underwent an aortic-aortic bypass cardiopulmonary bypass at room temperature. The aortic wall that had been eroded by esophageal cancer was resected and the artificial blood vessel was used. Repair, protamine antagonism. After the resection of esophageal cancer, esophagogastric anastomosis was performed. Results Three patients recovered well, no stenosis, 2 were alive, and 1 died of liver disease 1 year and 8 months later. Conclusion This method is radical surgery, thorough removal, reduce pollution, suitable for patients with large arteries adhering to the infiltrates, and not reaching the full-thickness patients. Insulation measures should be taken during surgery to prevent heart rhythm disorders. Maintain a sufficient amount of perfusion to maintain blood pressure.