| 周宜勇张绍明段德溥才志刚唐明明.食管癌术后呼吸衰竭的临床诊治分析[J].,2011,11(21):4120-4122 |
| 食管癌术后呼吸衰竭的临床诊治分析 |
| ZHOU Yi -yong, ZHANG Shao-ming, DUAN De-pu, CAI Zhi-gang, TANG Ming-ming |
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| DOI： |
| 中文关键词: 食管癌 并发症 呼吸衰竭 危险因素 治疗 |
| 英文关键词: Esophageal cancer complications Respiratory failure Risk factors Treatment |
| 基金项目: |
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| 摘要点击次数: 898 |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| 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. |
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