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临床资料患者1,女,67岁,因食管中段鳞癌行食管癌切除、胸内食管胃吻合术,手术顺利。术后并发左侧脓胸,先后使用碘伏、碳酸氢钠、双氧水、碳酸氢钠行经胸腔闭式引流管胸腔冲洗。双氧水灌洗时,患者突然出现右下肢麻木、无力,神志清楚,意识清晰。立即停止胸腔冲洗,密切观察,半小时后症状自行缓解。患者2,男,74岁,因食管上段癌行食管癌切除、胸内食管胃吻合术,手术顺利。术后第12 d并发左侧胸腔感染,形成局限性包裹性脓胸,选用碘伏、碳酸氢钠、双氧水进行胸腔
Clinical data Patients 1, female, 67 years old, due to esophageal squamous cell carcinoma of the esophagus resection, intrathoracic esophagogastrostomy, surgery was successful. Postoperative left empyema, successively using iodine, sodium bicarbonate, hydrogen peroxide, sodium bicarbonate through the thoracic drainage tube thoracic flushing. Hydrogen peroxide lavage, the patient suddenly appeared numbness of the right lower limb, weakness, consciousness, clear consciousness. Immediately stop the chest irrigation, close observation, half an hour after the symptoms ease themselves. Patient 2, male, 74 years old, had esophagectomy due to upper esophageal cancer and thoracic esophagogastric anastomosis. The surgery was successful. On the 12th day after operation, the left thoracic cavity infection was complicated by the formation of a localized encircled empyema. Choosing iodine volts, sodium bicarbonate and hydrogen peroxide for thoracic cavity