逆行胸胃减压术对治疗食管胃吻合口瘘的作用  

Application of retrograde thoracic-gastric drainage for the gastroesophagostomotic fistula

作　　者：王瑞[1] 王增林[1] 陈宇[1] 宋玉忱[1] 

机构地区：[1]河北医科大学第四医院,050011

出　　处：《综合临床医学》1996年第5期252-253,共2页

摘　　要：本文报道了逆行胸胃减压术在治疗食管胃吻合瘘中的作用.本组14例均取得了良好结果,其胸腔引流液明显减少,呼吸困难减轻.由于其无鼻咽粘膜及吻合口刺激,不增加手术负担,可长期应用易于管理之优点,在治疗食管胃吻合口瘘时可常规应用.可大大减轻胸腔污染,促进肺膨胀及使炎症局限,为吻合口瘘愈合创造良好条件.本文结合文献讨论了其应用的理论基础.Appplication of retrograde thoracic- gastric drainage for 14 patients with the gastrocsophagost-omotic fistula was reported and the theory basis of this method was also analyzed.The results thoracic drainage was obviously reduced and the incidence of dyspnea lessened.The pollution of the thoracic cavity might be greatly reduced,pulmonary re-expansion promoted,and inflammation limited with this method. Owing to no irritation of nasopharyngeal mucous membrane and anastomotic stoma,no adding operative load,and being used for a long time and easy to administer, we think that the method may be routely used in the treatment of the gastroesophagostomotic fistula.

关 键 词：食管胃吻合术 瘘 胸胃减压术 

分 类 号：R656.05[医药卫生—外科学]