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目的探讨食管癌、贲门癌患者术后肺部并发症的原因及防治措施。方法回顾分析56例患者的临床资料。结果肺病组高龄、吸烟、术前合并肺部疾病及术前肺功能明显异常、主动脉弓上吻合、手术多切口、手术时间长等情况高于对照组(P<0.05或P0.01)。结论食管癌、贲门癌术后肺部并发症与高龄、术前合并肺部疾病及术前肺功能明显异常、吸烟、弓上吻合、手术多切口、喉返神经损伤、手术时间长等多种因素有关。重视围手术期处理、提高手术技术是避免食管癌、贲门癌术后发生肺部并发症的重要措施。
Objective To investigate the causes and prevention and treatment of postoperative pulmonary complications in patients with esophageal and cardiac cancer. Methods The clinical data of 56 patients were retrospectively analyzed. Results Compared with the control group, smoking, preoperative pulmonary diseases, preoperative pulmonary function abnormalities, aortic arch anastomosis, multiple incision and long operative time were higher in the lung disease group than in the control group (P <0.05 or P <0.01). Conclusions Postoperative pulmonary complications of esophageal and gastric cardia patients were significantly different from those of elderly patients with preoperative pulmonary diseases and preoperative pulmonary function abnormalities, smoking, bow-to-arch anastomosis, multiple surgical incisions, recurrent laryngeal nerve injury and long operative time Factors related. Emphasis on perioperative management, improve surgical techniques is to prevent esophageal cancer, cardia cancer after the occurrence of pulmonary complications important measures.