摘要
胸内食管胃吻合口瘘(以下称吻合口痿)是食管癌切除术后早期死亡的首要原因,其死亡率高达50％左右。对其采用保守治疗或争取时机第二次开胸处理各家意见不一。自1979年6月至1987年5月,作者采用保守治疗8例胸内吻合口瘘,结果7例治愈1例死亡。文中提出由十二指肠管饲为主要途径,以支持营养为核心的综合性保守治疗,同时强调必须坚持斜坡位防止胃液对吻合口的侵蚀至关重要。并认为在应用抗菌素控制感染的同时辅以中药煎剂口服,可促使瘘口愈合,缩短病程。
Fistula of Intrathoracic esophagogastro-anastomosis is the main cause of early death after resection of esophageal and cardiac carcinoma. The opinion of schlars is differenf between the conservative therapy and secondary reparative operation. In these 8 cases, conservative therapy were adopted, 7 cases were cured and one died. This paper suggests that the chief part of complex conservative therapy is to maintain the patient's nutrition through the main path-duodenum tube feeding and emphasizes performing intercostal closed drainage in time and keeping in Fowler's position to avoid retrograde gastric juice eroding the anastomotic stoma. Taking traditional chinese medicine with antibiotics to control infection simultaneously. This way can promote the heating of the fistula.
出处
《暨南大学学报（自然科学与医学版）》
CAS
CSCD
1989年第4期37-41,共5页
Journal of Jinan University(Natural Science & Medicine Edition)
关键词
胸内
食管
胃吻合中瘘
Intrathoracic csophagogastrostomy fistula, Conservatlve therapy
