食管癌术后并发心律失常相关因素的临床研究

Clinical research of postoperative arrhythmia-related factors

目的探讨食管癌术后发生心律失常的危险因素。方法回顾分析2003年1月至2008年12月在商丘市第一人民医院行食管癌根治术376例患者术后出现心律失常者的危险因素。结果 376例食管癌患者中术后伴发心律失常87例,其发生率为23.1%(87/376),有冠心病史、高血压病史、术前心电图异常、一秒用力呼气容积(forced expiratory volume in one second,FEV1)、心脏射血分数(EF)、手术方式、手术时间、术中出血、术后低血钾、术后低氧血症及术后酸碱失衡是术后心律失常的主要危险因素(P<0.05),术后镇痛是保护因素(P<0.05)。结论防治食管癌术后心律失常,提高其手术治疗效果。

Objective To investigate the risk factors of occurrence of postoperative arrhythmia.Methods Retrospective analysis of January 2003-December 2008 in our hospital 376 cases of esophageal resection in patients with postoperative arrhythmia risk factors.Results Totally 376 cases of esophageal cancer associated with postoperative arrhythmia in 87 cases,the rate was 23.1%（87/376）,history of coronary heart disease,hypertension,preoperative ECG abnormalities,forced expiratory volume in one second（forced expiratory volume in one second,FEV1）,heart ejection fraction（EF）,surgical approach,operative time,blood loss,postoperative hypokalemia,acid-base balance and postoperative hypoxemia is the main risk factor for arrhythmia（P0.05）,postoperative pain is a protective factor（P0.05）.Conclusions We should control postoperative arrhythmias,improve their surgical treatment.