食管癌和肺癌术后并发房颤的分析及比较

Comparative analysis of postoperative atrial fibrillation in esophagus cancer and lung cancer patients

目的分析食管癌和肺癌术后并发房颤的发生率、高危因素、治疗方法及预后，并加以比较。方法将2004年12月～2006年5月45例食管癌和肺癌术后并发房颤的患者分为食管癌组（27例）和肺癌组（18例），并加以总结。结果食管癌组手术时间及术后2d尿中儿茶酚胺的含量高于肺癌组（P〈0．001）。肺癌组术后并发低氧血症的发生率高于食管癌组（P〈0．05）。术前合并心脏病病史及慢性阻塞性肺疾病病史，两组比较差异无统计学意义（P〉0．05）。45例患者均治愈。结论食管癌较肺癌术后易并发房颤。术后并发房颤的食管癌患者应及早进行药物治疗，肺癌患者首先应去除病因治疗。

Objective To investigate the incidence, causes, management and prognosis of atrial fibrillation （AF） after operation of esophagus cancer（EC） and hmg cancer（LC）. Methods The patients of postoperative AF following EC and LC surgery between December 2004 and May 2006 were taken into EC group and LC group. Results AF occurred in 27 patients （ 11.2% ） of EC and in 18 patients （5.6%） of LC. The duration of operating and the level of urine＇catecholamine within the first two days after operation in the EC group were higher than those of the LC group （ P 〈 0. 001 ） ; the incidence of postoperative hyoxemia in EC group was lower than that of LC group （ P 〈 0.05 ） ; there were no signifi- cant differences in history of cardiac disease and chronic obstructive pulmonary disease（COPD） between the two groups （ P 〉 0.05 ）. All patients had been cured. Conclusions The EC predominate over the LC in the incidence of AF after operation ; the early medicine treatment needs to be advisable to patients, and the patients of LC can be treated with removing causes at first.