食管贲门癌切除术后并发房颤的高危因素

High risk factors and management for atrial fibrillation after resection of esophageal or cardiac carcinoma

目的:总结食管贲门癌切除术后房颤的防治经验。方法:分析我院1 527例食管贲门癌手术治疗的临床资料。结果:术后房颤23例。年老、术前心肺功能异常、主动脉弓上吻合术式及病程晚期是房颤的高危因素。23例经及时诊治均恢复窦性心律,无此并发症死亡。结论:提高对并发房颤的认识,加强围术期管理,可大大减少此并发症的危险性。

Purpose:To investigate the prevention and treatment protocol for Af after resection of esophageal and car- dia carcinoma.Methods:Analyses for clinical materials of 1527 patients underwent resection for esophageal and cardiac carcinoma.Results:There were Af 23 cases.Age older than 60 years,abnormal ECG or/and pulmonary function before operation,gastro-esophageal anastomosis above the aortic arch and histological staging Ⅲ～Ⅳ were risk factors for AF.Fa- tal AF was rarely seen.In our 23 cases after treatment in time AF disappeared.Conclusions:Further recognition for post- operative AF and management of perioperative period complication,may reduce the danger of postoperative AF.