【摘要】 本组在1971年1月～1988年12月间,急诊治疗贲门癌大出血46例,男性35例,女11例,年龄在37～71岁间。全组病人出血量均在1000 ml以上,2例发生出血性休克。在外科治疗的40例中,切除34例并行食管胃吻合术,切除率为85％(34/40),全组没有发生吻合口瘘,3例发生其它术后并发症(7.5％),手术死亡率为2.5％(1/40)。1.3和5年生存率分别为82.7％,14.7％和8.8％。作者认为,贲门癌大出血患者,如没有发生远处转移,和存在手术禁忌症,应该尽早手术治疗。更多还原

【Abstract】 46 cases of carcinoma of the gastric cardia with massive hemorrhagewere treated from January 1971 to December 1988. There were 35 males and 11 females. Their ages ranged from 37 to 71 years old. The amount of bleeding was more than 1000 ml in all cases. Hemorrhagic shock occurred in 8 cases. 40 patients of them were treated surgecally. 34 cases underwent resection and esophagogastrostomy was done. The resectabil-ity rate was 85% (34/40). There was no postoperative anastomatic fistula. Other complications occurred in three patients (7.5%) . The operative mortality rate was 2.5% (1/40). The 1 - , 3 - , and 5-year survivcal rates were 82.4%, 14.7% and 8.8%, respectively.It is suggested that patients of carcinoma of the gastric cardia with massive hemorrhage without evidence of distant metastases and contraindications should be operated as early as possible.更多还原