食管癌贲门癌术后住院死亡原因分析及对策

Analysis of Reasons for In-Hospital Mortality After a Surgical Resection for Esophageal and Cardial Cancer and Countermeasures

目的探讨食管癌、贲门癌患者术后住院死亡的主要原因及防治对策。方法回顾性分析食管癌、贲门癌术后住院死亡患者的临床资料。结果1999年1月至2010年12月行7225例食管癌、贲门癌手术，其中71例术后住院死亡，病死率0．98％，主要死因为肺部并发症和吻合口瘘。结论严格掌握手术适应证，积极处理伴随疾病，选择恰当的手术方式，术中操作仔细谨慎，减少手术时间，术后加强监护治疗，及时处理术后并发症，对降低食管癌、贲门癌术后患者住院病死率有重要意义。

Objective To analyze the reasons for in-hospital mortality after a surgical resection for esophageal and cardial cancer and countermeasures. Methods From 1999.1 to 2010.12, 7,225 patients with esophageal and cardial cancer were performed surgery in Cancer Institute and Hospital. Retrospectively analyzing the clinical datas of patients in-hospital mortality of these patients. Results 71 cases of 7,225 patients with a surgical resection for esophageal and eardial cancer died in-hospital after surgery. Conclusion Strictly mastering the operative indications, treating the acompaning diseases actively, choose the appropriate surgical approach, careful operation in surgery, reducing surgical time, intensice care after surgery and timely treatment of postoperative complications correctly may play a significant role in the decrease of in-hospital mortality after surgery.