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1 病例报告男,47岁,因进行性吞咽困难6mo入院。体格检查未发现阳性体征;上消化道造影及纤维食管镜检查诊断中段食管癌,查无手术禁忌症。1999-06-16经右前外侧开胸和上腹旁正中切口及左颈部切口行食管次全切除、食管胃颈部端侧吻合术,术中发现贲门旁胃后壁上有直径1.0cm大小结节样病灶,随贲门一并切除;术中意外损伤脾门处包膜,创面活动性出血,行脾切除术。术中输血2400mL,未出现低血压状态,术后病理报告为食管鳞状上皮癌和胃贲门旁平滑肌瘤。术后患者生命体征平稳,胃肠减压通畅,引流胃内容物逐日减少,胸透见肺膨胀好,
1 case report Male, 47 years old, admitted to hospital due to progressive dysphagia 6mo. Physical examination found no positive signs; Upper gastrointestinal imaging and fiber esophagoscopy in the diagnosis of esophageal cancer, no contraindications for surgery. 1999-06-16 The right anterolateral thoracic and paracentesis incision and left neck incision esophageal subtotal resection of esophagogastric end anastomosis, intraoperative gastric cardia found on the wall of a diameter of 1.0cm size Nodular lesions, together with the cardia resection; intraoperative accidental injury splenic capsule, wound active bleeding, splenectomy. Intraoperative blood transfusion 2400mL, no hypotension, postoperative pathological reports of esophageal squamous cell carcinoma and gastric cardia leiomyoma. Postoperative patients with stable vital signs, gastrointestinal decompression patency, day-to-day reduction of drainage of gastric contents, chest see through lung expansion,