摘要
目的探讨食管癌和贲门癌患者术后发生心律失常的危险因素。方法回顾性地分析接受根治性手术的食管癌和贲门癌患者220例,了解其围手术期心率失常发生率,并比较发生和不发生心率失常的患者的临床特征的差别。结果本组患者术后合并心律失常的发生率为18.6%(41/220),其中大多是室性心动过缓(17例)。心率失常的危险因素包括:年龄(P=0.009)和体重指数(P=0.025)较高、手术时间长(P=0.035)、术后氧饱和度下降(P=0.013)和酸碱/电解质紊乱(P=0.024)。结论多种因素可影响患者心率失常的发生,对于具备高危因素的患者在术后需要积极干预。
Objective To find the clinical risk factors of postoperative arrhythmia in the patients who underwent curative resection for esophageal or cardiac carcinoma.Methods Two hundred and twenty patients were enrolled in this study.The clinical features were compared between the patients with postoperative arrhythmia and the patients without arrhythmia.Results The incidence of postoperative arrhythmia in was 18.6%（41/220）.Old age,elevated body mass index,prolonged surgery duration,abnormal postoperative oxygen saturation,and acid-base balance/electrolyte disturbances were all risk factors of arrhythmia（P0.05 for all）.Conclusion Postoperative arrhythmia was affected by many factors.The patients underwent curative surgery for esophageal or cardiac carcinoma with these risk factors should receive extensive attention after surgery.
出处
《实用癌症杂志》
2011年第1期78-80,共3页
The Practical Journal of Cancer
关键词
食管癌
手术
心律失常
危险因素
并发症
Esophageal or cardiac carcinoma
Surgery
Arrhythmia
Risk factors
Complication
