贲门失弛缓症术后并发食管旁疝致胃底绞窄坏死1例

WORLD CHINESE JOURNAL OF DIGESTOLOGY(2006)

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Abstract
介绍1例贲门失弛缓症Heller术后16 a并发食管旁疝致胃底绞窄坏死的病例.报告本例患者的详细病历资料和诊治经过.患者起病5 d后剖胸探查,发现胃底疝入左侧胸腔并绞窄坏死,行近端胃大部切除,修复食管裂孔.术后随访1 a无复发.食管旁疝发生嵌顿时,应立即插入胃管减压,如减压不成功或症状不改善,应急诊手术探查.
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