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老年人食管一胃、空肠吻合口瘘20例临床分析

Clinical Analysis on fistulas after esophago gastrostomy and esophagojejunoplasty in 20 senil patients

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【作者】 解震河李永槐任金祥

【Author】 Xie Zhen-he

【机构】 河南省人民医院河南省人民医院 邮政编码:450003邮政编码:450003

【摘要】 本文报道20例老年人胃肿瘤患者,术后出现食管一胃、空肠吻合口瘘,采取充分引流、口服流质、控制感染、静脉补充营养等支持疗法代替早期二次手术缝合瘘口及空肠造瘘术,效果良好,避免了再次手术的风险。

【Abstract】 Twenty cases of elderly patients with gastrointestinal tu-mors were studied in this paper.When anastomotic fistulaoccured after the esphagojejunogastrostomy,the abundantdrainage,liquid diet,anti infection,replenish nourishmentand other supporting treatments were adopted instead ofthe traditional second operation repairing the fistula inearly stage and performing jejunostomy.The results indi-cated that the effects is good,and the risks of repeted op-eration was avoided for elderly patients.

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