摘要
食管异物并发主动脉食管瘘，是至今国内外尚无有效治疗方法的疾病。本组２２０例食管异物有４例异物穿透食管伤及邻近主动脉，其中３例施行了手术，１例手术是在深低温体外循环下取得成功。根据本组经验及文献复习，作者认为该病一经确诊应尽快手术。并将该病的病理变化分为三种类型，强调依据不同类型选择手术方法。
Itiswellknownthatthereisnoeffectivetherapytocureaortoesophagealfistulainducedbyaforeignbodyintheesophagusallovertheworld.In220casesofforeignbodyinesophagus,4devel-opedthelife-threateningcomplicationofaortoesophagealfistulaastheforeignbodyerodedthroughtheesophagealwallandperforatedtheaorta.Although3of4patientswereoperatedupon,onlyonesur-vivedbymeansofprofoundhypothermiaandcirculatoryarrest.Accordingtothesuccessfulexperienceandareviewoftheliterature,theauthorsconsideredthatsomepatientswithaortoesophagealfistulamaybesavedifanemergencyoperationisundertakenimmediatelyafterthediagnosismade.Meanwhile,theydividedthisdiseaseinto3pathologicaltypes,andsuggestedtheoptimaloperationprocedurein-dividualizedtothedifferentpathologicaltypes.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1996年第10期611-613,共3页
Chinese Journal of Surgery
