食管贲门癌术后胸胃瘘的临床分析  

The clinical analysis of intrathoracic stomach perforation after transthoracic esophagectomy

作　　者：荚从正 张建群[1] 谭林[1] 汪雁鸿 章荣贵[1] 

机构地区：[1]六安市中医院胸外科,237006

出　　处：《安徽医学》2011年第9期1274-1276,共3页Anhui Medical Journal

摘　　要：目的通过对吻合口瘘与胸胃瘘的比较分析,探讨胸胃瘘的临床特点、治疗以及预防措施。方法回顾性分析1998至2010年24例消化道瘘患者的临床资料,对胸胃瘘的可能原因、诊断及治疗做进一步分析。结果该组24例消化道瘘中有5例胸胃瘘,其中仅1例确诊,4例误诊为吻合口瘘,1例经胸腔引流、胃肠减压、肠内营养后痊愈,4例行二次开胸,死亡1例。结论胸胃瘘多因术者操作不当导致胃壁局部血液循环障碍所致,误诊率极高,关键在于预防。Objective To investigate the clinical features,treatment and prevention measures of intrathoracic stomach perforation by comparative analysis of the anastomotic perforation and intrathoracic stomach perforation.Methods Retrospective analysis of the 24 cases about the patients with gastrointestinal perforation from 1998 to 2010 Was conducted to study possible cause 、diagnosis and treatment about the intrathoracic stomach perforation further.Results There were 5 people who had intrathoracic stomach perforation in the 24 patients with gastrointestinal perforation.in which only 1 people was diagnosed,and other 4 cases were misdiagnosed as anastomotic perforation;there was 1 people healed after chest drainage,gastrointestinal decompression and enteral nutrition,4 people had the secondary thoracotomy,and one of them died.Conclusion Intrathoracic stomach perforation is caused by local blood circulation of gastric wall mostly,which results from the operator＇s misoperation.The high misdiagnosis rate makes prevention most important.

关 键 词：胸腔胃 吻合口瘘 胸胃瘘 

分 类 号：R735[医药卫生—肿瘤]