摘要
目的:探讨食管癌术后发生心律失常的危险因素以指导临床防治。方法:收集2006年1月—2006年12月887例食管癌手术患者资料,对术后心律失常可能的危险因素进行分析。结果:年龄超过60岁、术前心电图异常、高血压、FEV1/FVC<70%、手术时间>3.5h、术中失血>600ml、弓上及颈部吻合等是食管癌术后发生心律失常的危险因素。结论:对具备以上因素的患者应在术前有效控制血压,加强心肺功能锻炼,改善营养状况,术中轻柔操作,术后给予有效镇痛、鼓励有效排痰、保持胃管引流通畅。
Objective：To Study the risk factors of cardiac arrhythmia in postoperative patients with esophageal carcinoma for preven tion. Methods： The clinical data of 887 patients with cardiac arrhthinia after esophageal cancer surgery in our hospital from January 2006 to December 2006 were collected and analyzed retrospectively. Results： Age older than 60y, abnormal cardiogram before operation, hypertension, FEV1/FVC〈70% ,operation time beyond 3.5 h, blood loss during operation 〉600 ml, neck and supra-aortic arch anastomosis were risk factors in the development of arrhythmia after esophageal carcinoma operation. Conclusion： Blood pressure con- trol, heart and lung function exercise,gently operation, pain-relief, sputum removal and stomach tube drainage can prevent arrhythmia or decrease the incidence.
出处
《中国临床医学》
北大核心
2007年第5期636-637,共2页
Chinese Journal of Clinical Medicine
关键词
食管癌
心律失常
危险因素
Esophageal cancer
Cardiac arrhythmia
Risk factor
