肺和食管手术后心血管并发症

Cardiovascular Complications Pulmonary and Esophageal Operation

1984年4月至1995年12月，我科共施行肺肿瘤和食管肿瘤手术719例，其中男538例，女181例；年龄27－80岁，平均58．41岁。术后心血管并发症72例，发生率10．01％。心血管并发症中，心律失常6例，占90．28％，其中房性早搏33例、心房纤颤19例、室性早搏11例、心室纤颤2例。并发症发生于术后5天内占93．06％（67／72）。术后心血管并发症的主要原因有术前心电图异常、慢支炎、心血管疾患、术后心肺功能不全、低氧血症、手术创伤等。作者对围术期心血管并发症的防治进行了讨论。

From Apr. 1984 to Oct. 1995, 719 patients with pulmonary carcinoma or esophageal carcinomaunderwent surgical treatment. 58 were males and 181 females. Their ages were 27-80 years (av. 58).Cardiovascular complications following surgical treatment occurred in 72 cause, with an incidence of 10.01%. Of these patients, 65 cases had arrhythmia (90.28%). Of the arrhythmia cases, 33 cases hadatrial extrasystole, 19 had atrial fibrillations, 11 had ventrical extrasytole, and 2 had ventrialfibrillation. The most cardiovascular complications accurred in postoperative 5 days (93.00%). Thecauses of postoperative cardiovascular complications were preoperative abnomal ECG, chronic bronchitis,cardiovascular diseases, postoperative cardiopulmonary insufficiency, hypoxemia, and operative trauma.The prevention and treatnent of postoperative cardiovascular complications were discussed.