目的：总结食管及贲门癌手术少见并发症的诊断及治疗体会，吸取其诊断失误、治疗失败的教训。方法：回顾性分析少见并发症的发病原因、临床诊断、处理方法、预防措施及其中治疗失败的相关因素。结果：治愈及死亡分别为10例及8例（除外已报道的8例）。结论：1）该文所述的并发症虽然少见，但临床上时有发生，若处理不当，常造成严重后果；2）对主动脉食管固有支撕脱性损伤的喷射状出血，术者要沉着、冷静，只要处理方法正确，损伤口均可以修补成功；3）右胸径路是预防奇静脉损伤的关键措施；4）吻合口腹内瘘的患者，若早期漏出感染物包裹于膈下，容易延误诊断；5）吻合口主动脉瘘，关键在于预防；6）警惕术后肺动脉栓塞的发生，提高其防治意识；7）胸胃纵隔疝若不及时处理，预后较差。%This study aimed to summarize the diagnosis and treatment of uncommon complications in esophageal and cardiac cancer operations as well as obtain lessons from the failure. Methods:The etiology, clinical diagnosis, treatment, prevention measures, and factors that contribute to the failure of the uncommon complications were analyzed retrospectively. Results: Results showed ten cured cases and eight death cases (except for the reported eight cases). Conclusion:The following conclusions were ob-tained. 1) The complications described in this paper were rare, but they sometimes occur clinically. If wrong treatment was taken, seri-ous consequences would be expected. 2) Once a jet-like bleeding of aortic esophagus avulsion injury occurs, the surgeon must be calm and take proper treatment to successfully patch up the wounds. 3) The right thoracic approach is a new approach to prevent the injury of azygos vein. 4) Patients with anastomotic stoma fistula easily cause a delay in diagnosis if the leakage was wrapped in the inferior phrenic. 5) Taking preventive measures is the key method for the anastomotic aortoesophageal fistula. 6) Occurrence of pulmonary em-bolism after operation should be monitored. 7) Thoracic gastric mediastinal hernia would cause serious consequences if treatment was not taken at a proper time.
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