食管癌术后呼吸衰竭的临床诊治分析

Esophageal Cancer Diagnosis And Treatment of Respiratory Failure

目的:探讨食管癌术后发生呼吸衰竭(RF)的原因及防治疗措施。方法:将194例行食管癌手术的患者按术后是否发生呼衰分为观察组(36例)和对照组(158例),比较分析相关因素,对发生RF的患者行气管插管呼吸机辅助和气管切开的抢救。结果:36例RF均在术后24～72h发生,33例痊愈,死亡3例。结论:年龄、肺功能、手术时间、血清白蛋白含量、术后其它并发症及是否吸烟等都是诱发RF的重要因素,术前积极治疗肺部合并症、改善肺功能、缩短手术时间、防止染是预防和减少RF发生的主要措施。

Objective： To investigate the occurrence of postoperative respiratory failure （RF） treatment of the causes and prevention measures. Methods： 194 patients with esophageal cancer by routine postoperative respiratory failure occurred divided into two groups （36 cases） and control group （158 cases）, a comparative analysis of relevant factors on the occurrence of RF in patients with ventilator-assisted endotracheal intubation and tracheotomy rescue. Results： 36 patients were RF occurred in 24-72h after surgery, 33 patients were cured, 3 died. Conclusion： Age, lung function, operation time, serum albumin, other postoperative complications and whether smoking is an important factor in RF-induced, aggressive treatment of pulmonary complications： before surgery, to improve lung function, shorten the operation time to prevent dye is to prevent and reduce the occurrence of the main measures RF.