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本文对胸内食管胃吻合口瘘8例治愈作一经验介绍,保守治疗7例,再次切除吻合口瘘,行食管胃颈部吻合术1例。总结经验有1.早期发现吻合口瘘,及时作胸腔有效引流。2.了解瘘口大小是决定手术或保守治疗的关健。3.对大的瘘采取再次手术,对小的或中等瘘均采用保守治疗。除输血、输液、全身抗菌素应用外,不禁食,口服1/1000氯霉素液,一、二天后口服流质或蒸蛋,豆花之类食物,全组均治愈,平均住院期51天。
In this article, 8 cases of intrathoracic esophagogastric anastomotic fistula were cured, and 7 cases were treated conservatively. Anastomotic fistula was removed again and an esophageal and gastric neck anastomosis was performed in 1 case. Summary of experience 1. Early detection of anastomotic leakage, timely chest drainage for effective drainage. 2. Knowing the size of the fistula is the key to surgery or conservative treatment. 3. Take a second operation on the big warts. Use conservative treatment for small or medium warts. In addition to blood transfusion, infusion, systemic antibiotic application, not fasting, oral 1/1000 chloramphenicol solution, one or two days after oral liquid or steamed eggs, such as bean curd, the whole group were cured, the average length of stay 51 days.