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我院自1961年~1991年7月共行食管癌贲门癌切除术1965例,术后发生食管胃大动脉瘘10例,其中男8例,女2例。年龄27岁~66岁。食管中段癌3例,下段癌5例,贲门癌2例。食管胃弓下吻合7例,弓上吻合3例。2例术前钴60放疗,1例术后放疗。出血发生于术后10~57d。10例均死亡。讨论食管癌贲门癌切除术后并发食管胃大动脉瘘是少见的致命性并发症。迄今国内文献报告24
In our hospital, 1965 cases of esophageal and cardiac cancer resection were performed from 1961 to July 1991. There were 10 cases of esophagogastric artery spasm after operation, including 8 males and 2 females. Age 27 to 66 years old. There were 3 cases of middle esophageal carcinoma, 5 cases of lower carcinoma, and 2 cases of cardiac cancer. There were 7 cases of esophagogastric bow anastomosis and 3 cases of bow anastomosis. Two cases received preoperative cobalt 60 radiation therapy and one case received postoperative radiotherapy. Bleeding occurred 10 to 57 days after surgery. All 10 cases died. Discussion of esophagogastric arterial spasm after resection of esophageal and cardiac cancer is a rare and fatal complication. Domestic Document Report 24