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目的:探讨食管癌及贲门癌术后气胸的预防与处理。方法:分析12例食管癌及贲门癌术后发生气胸的原因、临床特点。结果:60岁以上患者占83.3%,其中合并慢支肺气肿者占80%,10例经闭式引流,2例行胸腔穿刺抽气,全部治愈。结论:伴有慢支肺气肿的食管责门癌患者是术后气胸的高危因素,应重视围术期呼吸道管理,术中认真防范。胸腔穿刺抽气与上胸闭式引流是术后气胸早期有效的诊治方法。
Objective: To investigate the prevention and management of postoperative pneumothorax in esophageal and cardiac cancers. Methods: The causes and clinical characteristics of pneumothorax after operation in 12 cases of esophageal and cardiac cancers were analyzed. Results: 83.3% of patients over the age of 60, of which 80% were associated with chronic bronchitis and emphysema, 10 cases of closed drainage, 2 cases of thoracentesis, all cured. Conclusion: Esophageal cancer patients with chronic pulmonary emphysema are high risk factors for postoperative pneumothorax. We should pay attention to perioperative management of respiratory tract and take precautions during surgery. Thoracentesis and upper thoracic drainage are effective early diagnosis and management methods for postoperative pneumothorax.