食道贲门癌术后并发膈疝较罕见,易误诊为其它急腹症,为汲取经验教训,特将近年收治4例术后并发膈疝的病例分析报告如下。 1 病例报告例1.男性,49岁。因突发性上腹部疼痛伴恶心呕吐24小时,以腹痛待查入院。3年前因食道癌在外院手术。检查:急病面容,左上腹压痛阳性,轻度肌卫,无包块。2次胸透均示:左胸食道癌术后改变。腹透提示:肠腔积气、无液平。B超检查腹部正常。予以补液解痉对症治疗,腹痛无明显缓解,并逐渐加重,出现局限 Postoperative esophageal and cardiac cancer complicated by sputum is rare, often misdiagnosed as other acute abdomen, in order to learn lessons, especially in recent years, 4 cases of postoperative spastic paralysis reported as follows. 1 Case report 1. Male, 49 years old. Sudden upper abdominal pain associated with nausea and vomiting for 24 hours, abdominal pain to be admitted to the hospital. 3 years ago because of esophageal cancer surgery in the external hospital. Check: The face of acute illness, the left upper quadrant is tender and sensible, the mild muscle is guarded, and there is no mass. 2 chest X-rays showed: postoperative changes in the left chest esophageal cancer. Peritoneal dialysis tips: intestinal gas product, no fluid level. B-ultrasound was normal. Relieve hemorrhoids symptomatic treatment, no significant relief of abdominal pain, and gradually increased, the emergence of limitations