食管贲门癌合并肺功能异常病人的围手术期处理  

The perioperative treatment of esophageal carcinoma patients merging pulmonary dysfunction

作　　者：徐骏[1] 林建雄[1] 黄荣生[1] 曾志豪[1] 

机构地区：[1]广东省佛山市顺德第一人民医院心胸外科,广东佛山528300

出　　处：《海南医学》2006年第9期40-41,共2页Hainan Medical Journal

摘　　要：目的探讨食管贲门癌合并肺功能异常病人围手术期治疗经验。方法总结了268例术前行肺功能检查的食管贲门癌病人临床资料。结果肺功能异常142例,发生肺部并发症的27.5%(39/142),死亡4例:肺功能正常者126例,发生肺部并发症的15.1%(19/126),死亡l例。两组肺部并发症的差异有显著性意义(P<0.05)。结论食管贲门癌病人术前常规作肺功能检查,以评估肺功能正常与否十分重要。肺功能异常者术后易发生或加重肺部并发症,加强围手术期治疗,改善呼吸功能,可有效地提高对手术的耐受性,减少肺部并发症的发生。Objective To investigate the perioperative treatment of esophageal carcinoma patients merging pulmonary dysfunction. Methods Summarize the clinical data on 268 esophageal carcinoma patients merging pulmonary dysfunction who checked pulmonary function before operation. Results Among 142 ease patients merging pulmonary dysfunction, 27.5% （39/142） occurred pulmonary complications and 4 eases died. On another side, among 126 ease patients with normally pulmonary fimction, 15.1% （19/125） occurred pulmonary complications and I eases died. The different rates of pulmonary complications between 2 groups show variance in evidence （P〈0.05）. Conclusions A routine pulmonary function test in order to assess respiratory function for esophageal carcinoma patients is very important. Patients merging pulmonary dysfunction are easy to occur or aggravate pulmonary complications, enhance the perioperative treatment and improve respiratory function e.an strengthen the endurance capacity, also can reduce pulmonary complications.

关 键 词：食管贲门癌 肺功能 肺部并发症 围手术期处理 

分 类 号：R619[医药卫生—外科学]