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Objective To investigate the relationship between dynamic changes of plasma D-dimer and survival rate of the esophageal carcinoma patients pre-and post-operation.Methods 30 cases of normal control group,160 cases of esophageal cancer group( including operation cases n =112),with the gold standard method for the determination of plasma D-dimer.Results There was a link between the level of D-dimer,TNM staging,lymph node metastasis and tumor size in esophageal carcinoma patients.Compared with the preoperation,the plasma D-dimer is significantly elevated 2 years later( t =7.35,P ＞ 0.05 ).Conclusion Before or after the operation,dynamic changes of plasma D-dimer had a relationship with short-term survival rate.
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Objective To study the diagnosis and treatment results of the traumatic perforation of the esophagus.Methods Retrospective analysis was performed in 19 cases with the traumatic perforation of the esophagus hospitalized.Results Treatment options ranged from aggressive to conservative management.Repair of esophageal perforation was performed in 9 cases,cervical drainage in 2 cases and conservative treatment in 8 cases.17 cases recovered from the disease,making up 89.5%the mortality rate was 10.5%.Conclusion In order to increase the recovery rate and decrease the mortality.it is important to diagnose and treat the disease in it's early phases.