食管切除术

Methods:from 1988 to 2004, 26 patients (25 males and 1femal, aged from 28～72 years old) with esophagus rupture were treated. among the 26 cases, 2 cases received conservative treatment; 6 cases' esophaguses were slit to extirpate heterogeneous things; 3 cases received thorax and mediastinal conduction added gastrostomy or jejunostomy; 14 cases received esophagus hernioplasty; 1case was put the metallic bracket into esophagus and then received esophagus resection and esophagus -gastric anastomosis in the second period.

1988～2004年收治食管破裂患者26例，其中男25例，女1例，年龄28～72岁。26例患者中，2例保守治疗，6例切开食管摘取异物，3例行胸腔、纵隔引流加空肠及胃造瘘术，14例行食管修补术，1例行食管内带膜金属支架植入，二期再行食管切除食管胃吻合术。

This study was to assess the clinical outcomes of Ivor Lewis esophagectomy with two-field lymph node dissection for squamous cell carcinoma of the lower thoracic esophagus.

本研究旨在评价Ivor Lewis食管切除术二野淋巴清扫治疗胸下段食管癌的临床效果。

In patients with submucosal carcinoma, 8 had residual carcinoma at the EMR site at surgery and 5 patients had metastatic lymphadenopathy.

在黏膜下层癌患者中，8例在食管切除术中发现在EMR部位有肿瘤组织残余，5例有远处淋巴结转移。

objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术，围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗；术后硬膜外镇痛、早期锻炼、保持呼吸道通畅，部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降，6例出现肺部感染，6例行纤维支气管镜吸痰，2例通过气管插管给予呼吸机支持，2例行气管切开术，1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证，积极的术前准备和严格的术后管理可减少和控制术后急性发作，有助于确保此类病人的围手术期安全和康复。

Objective To observe the theraputic effect of esophagectomy without thoracotomy in elder patients with esophageal and cardial carcinoma.

非开胸食管切除术是高龄食管癌、贲门癌患者的一种理想术式。

The aim of this study was to assess the accuracy of tumor staging by EMR using esophagectomy as the standard.

本研究的目的是以食管切除术为标准对EMR的肿瘤分期做精确的评价。

Esophagectomy is preferred for patients with adenocarcinoma of the distal esophagus or gastroesophageal junction.

在食管远端或胃食管交界处的腺癌的病人主张食管切除术。

Background and purpose:Open esophagectomy can be associated with significant morbidity and negatively impact on recovery of the patients to routine activities.

背景与目的：剖胸食管切除术常能引起严重并发症，并延长患者恢复正常活动的时间。

Objective To discuss perioperative complication and management of patient with high risk COPD following esophagectomy.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。

Patients with tracheoesophageal fistula are usually treated effectiely with the placement of a silicone-coered self-expanding metal stent, obiating palliatie esophageal exclusion and bypass in most patients.

气管食管瘘病人采用带硅胶膜的金属支架治疗有效，可避免故息性食管切除术和短路手术。

Fancy gold-plated dangling earrings with facetted White Opal crystals.

花式镀金悬垂耳环与facetted白欧泊水晶。

This essay chooses the study aim from biology teachers in middle school in Shi Jiazhuang which tells us that most of the middle school biology teachers in Shi Jiazhuang have the"burnout", lower successfulness, individualize.

本文选取石家庄市初中生物教师作为研究对象，运用问卷调查的方法对石家庄市初中生物教师职业倦怠的现状进行调查，调查结果发现，石家庄市初中生物教师这一群体普遍存在职业倦怠，情感枯竭程度偏高，成就感偏低，去个性化程度最为严重。