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find Author "金卫国" 2 results
  • Diagnosis and Treatment of 34 Patients with Spontaneous Esophageal Rupture

    Objective?To investigate clinical characteristics, diagnosis, and treatment for patients with spontaneous esophageal rupture, and improve clinical diagnostic and treatment level.?Methods?We retrospectively analyzed the clinical data of 34 patients with spontaneous esophageal rupture who were treated in Subei People’s Hospital from January 1996 to June 2010. There were 28 male patients and 6 female patients with their age ranging from 32 to 80 years old (mean 57.6 years old). Main clinical manifestations included severe chest and abdominal pain after vomiting, fever, dyspnea and shock. The duration between disease onset and establishing diagnosis ranged from 4 hours to 7 days. Thirteen patients received conservative treatment including chest drainage, retrograde gastrointestinal decompression and enteral nutrition through jejunostomy. Twenty one patients received surgical treatment including layered anastomosis of the ruptured esophagus, retrograde gastrointestinal decompression and enteral nutrition through jejunostomy.?Results?All the patients were cured without in-hospital death. The mean hospital stay of the 13 patients who received conservative treatment was 46 days, while that of the 21 patients who received surgical treatment was 17 days. All the ruptured esophagus were one-stage healed. All the 34 patients were followed up from l to 8 years, including 11 patients in the conservative treatment group and 19 patients in the surgical treatment group, but 4 patients was lost during follow-up. All the patients had a normal diet without symptoms of esophageal stricture, reflux esophagitis or chronic thoracic empyema.?Conclusion Spontaneous esophageal rupture is a thoracic emergency with a high misdiagnosis rate and mortality.Early diagnosis, early surgical repair of ruptured esophagus and satisfactory chest drainage play a vital role in the treatment for patients with spontaneous rupture of esophagus.

    Release date:2016-08-30 05:50 Export PDF Favorites Scan
  • 老年性巨大纵隔肿瘤的手术治疗

    目的总结老年性巨大纵隔肿瘤的手术治疗效果。 方法回顾性分析2008年1月至2013年5月扬州大学临床医学院苏北人民医院12例年龄大于60岁行巨大纵隔肿瘤手术治疗的老年患者,男7例、女5例,年龄60~71(64.2±3.4)岁。手术全部切除11例,姑息性切除1例,其中肺叶切除2例,部分心包切除2例。 结果全组无手术死亡病例。术后病理诊断:脂肪瘤1例,胸骨后甲状腺瘤2例,纵隔囊肿3例,胸腺瘤2例,神经鞘瘤1例,腺鳞癌1例,鳞癌1例,孤立性纤维性肿瘤1例。术中并发大出血1例,术后并发复张性肺水肿2例,予以对症治疗后痊愈。随访3个月至5年,1例失访。1例因肿瘤转移死亡,1例死于其它疾病;余9例随访均健康,生活质量良好。 结论手术治疗老年性巨大纵隔肿瘤效果好。术前应充分做好准备,术中防止低血压、心脏压迫,控制致命性出血,术后积极防治复张性肺水肿。

    Release date:2016-10-02 04:56 Export PDF Favorites Scan
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