【摘要】目的：通过对吻合口瘘与胸胃瘘的比较分析，探讨胸胃瘘的临床特点、治疗以及防治措施。方法：回顾性分析1998-2010年24例消化道瘘病人的临床资料，对胸胃瘘的可能原因、诊断及治疗做进一步分析。结果：该组24例消化道瘘中有5例胸胃瘘，其中仅1例确诊，4例误诊为吻合口瘘，1例经胸腔引流、胃肠减压、肠内营养后愈合，4例行二次开胸，死亡1例.结论：胸胃瘘多因术者操作不当导致胃壁局部血液循环障碍所致，误诊率极高，关键在于防治。

    【关键词】胸腔胃;吻合口瘘;胸胃瘘

    The comparative analysis of anastomotic perforation and intrathoracic stomach perforation after surgery

    【Abstract】 Objective: To analyze the anastomotic perforation and intrathoracic stomach perforation and discuss the clinical features, treatment and prevention measures of intrathoracic stomach perforation. Methods: Retrospect to the analysis of the data of the 24 cases about the patients with gastrointestinal perforation from 1998 to 2010. People can make a deeper search about the reason and the treatment. Results: there were 5 people had intrathoracic stomach perforation in the 24 patients with gastrointestinal perforation.But only 1 people was diagnosed, 4 people misdiagnosed as aanastomotic perforation,1 people healed after thoracic drainage, gastrointestinal decompression, enteral nutrition,4 people had the secondary thoracotomy, and 1 died. Conclusions: The blood circulation disorder of gastric was caused by improper operation which lead to intrathoracic stomach perforation ultimately. So the rate of misdiagnosis was very high. Therefore, the most important way was to prevent. ......