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目的:总结食管癌根治术中主动脉损伤的外科处理经验。方法:16年来,本院共施行食管癌根治术2496例,术中发生主动脉损伤6例(0.24%);主动脉外膜荷包缝合法止血2例;主动脉包饶法止血2例;阻断血流主动脉壁全层缝合法止血1例;胸主动脉塑料管外转流下修补法止血1例。结果:本组6例全部成功止血,治愈出院。结论:食管癌根治术中发生主动脉损伤时,即时压迫或暂时阻断血流控制出血,然后选择适当的止血方法,均能使患者转危为安。
OBJECTIVE: To summarize the experience of surgical treatment of aortic lesions in radical resection of esophageal cancer. Methods: In the past 16 years, a total of 2496 patients underwent esophageal cancer radical mastectomy, including 6 cases of aortic injury (0.24%), 2 cases of aortic adventitia with purse string suture, 2 cases of aortic insufflation and hemostasis One case of hemostatic aorta wall full-thickness suture to stop bleeding; Thoracic aorta plastic tube outside the bypass to stop bleeding in 1 case. Results: All 6 cases in this group were successful in stopping bleeding and were cured. CONCLUSIONS: When an aortic injury occurs in radical resection of esophageal cancer, immediate compression or temporary blocking of blood flow control bleeding, and then select the appropriate hemostasis method, can make the patient turn critically ill.