摘要
本文分析22例食管贲门癌手术死亡原因.提出了降低死亡率的一些具体措施:术前病人情况差.估计肿瘤过大不宜勉强手术.重视对合并呼吸循环系统疾病的处理.要早禁烟.控制肺部感染,酌情输血.纠正电解质紊乱.本组7例因肺部并发症发生呼衰死亡,5例术后吻合口瘘死亡,4例因胸腔并发症发生呼衰死亡.及科诊断处理上述并发症是降低手术死亡率的重要措施。麻醉、手术方法和手术野保护.都直接影响病人的预后。
This paper analyses the cause of deathos of 22 cases with esophagus cardiae cancer,and suggests Some measures for reducing death rate. Operation Should not be conducted if preoperative patients are in poor condition and the cauler is too big,special attentiou Should be paid to the managemant of accompanied respiratory and circulatory diseases.The patients should stop smoking,lungs infection should be controlled Tranfuse blood if n(?)cessary,and c(?)rr(?)t electrolyte discrclers,7 patients in this group alied of respiratory failure caused by lungs complications.5 patients died of port-operatire anastomotic leakage.4 patients died of respiratory failure caused by thoracic complications.lmmediate diagnosis and management of the complications and are important in reducing operational death rate. Anesthetic medicine and equipmeut if used incorrectly,may cause sudder respiratory and hoentbeat stop.
