胸部肿瘤术后并发症及死亡原因分析  

Analysis of the reasons for postoperative complications and death of thoracic tumors

作　　者：王建云 于大平[2] 

机构地区：[1]北京市平谷区人民医院胸外科,北京101200 [2]北京市结核病胸部肿瘤研究所胸外科,北京101200

出　　处：《中国癌症杂志》2004年第4期369-370,372,共3页China Oncology

摘　　要：目的 :探讨胸部肿瘤围术期死亡及并发症发生原因 ,对避免手术风险 ,提高手术生存率。方法 :分析我院 2 0年来手术切除 3490例胸部肿瘤。结果 :手术死亡 90例 ,手术病死率 2 .5 8% (90 / 3490 ) ;其中 :肺癌切除手术死亡 6 7例 ,手术病死率 1.72 % (6 7/ 2 896 ) ;食管及贲门癌手术死亡 19例 ,手术病死率 3.91% (19/ 4 86 ) ;纵隔肿瘤手术死亡 2例 ,手术病死率 1.85 % (2 / 10 8)。围术期并发症主要为心肺系统疾病 ,应激性溃疡 ,术后出血 ,残端瘘 ,吻合口瘘 ,乳糜胸及隔疝。结论 :肺脏、心血管系统并发症及吻合口瘘为围术期死亡主要原因 ,尤以呼吸系统并发症为第一位原因。Purpose:To study the reasons for operative death and complications in cases of thoracic tumors,it was important for avoiding the operation risks and raising the survival rate. Methods:Analyzing the 3490 cases of thoracic tumors treated by surgery during 20 years in our hospital. Results:Among these cases,90 patients died and the operation death rate was 2.58%(90.3 400).In the 90 cases,there were lobectomy of lung cancer in 67,and the death rate was 1.72%(67/2 896);carcinoma of esophagus and gastric cardia in 19,the rate 3.91%(16/486);mediastinal tumors in 2,the rate 1.85%(2/108).The chief complications were cardiopulmonary diseases,stress ulcer,postoperative hemorrhage,stump fistula,anastomatic fistula,chylothorax and diaphragmatic hernia.Conclusions:The pulmonary,cardiavescular complications and anastomatic fistula were the major reasons for the operative death,but the first was pulmonary complication.

关 键 词：肿瘤 胸部手术 围术期 并发症 死亡 

分 类 号：R734.2[医药卫生—肿瘤] R335[医药卫生—临床医学]