食管癌术后呼吸衰竭的治疗  

THE TREATMENT OF PATIENTS WITH RESPIRATORY FAILURE AFTER OPERATION OF ESOPHAGEAL AND CANDIAC CANCER

作　　者：陈家华[1] 方刚[1] 

机构地区：[1]广东省农垦中心医院胸心外科,宁夏医学院附属医院胸心外科

出　　处：《宁夏医学院学报》1996年第4期25-26,共2页Journal of Ningxia Medical College

摘　　要：分析１０例食管癌、贲门癌术后呼吸衰竭的发病和治疗。发病率占同期食管癌、贲门癌手术６．１％（１０／１６５）。治愈６例，死亡４例，死亡例数占同期食管癌贲门癌手术病人数的２．４％。术后呼吸衰竭治疗的关键在于尽早使用辅助通气，彻底清除呼吸道内分泌物，控制肺内感染，早期发现并处理胸内其它病变。单纯低肺功能也非绝对手术禁忌症。对食管癌贲门癌术后呼吸衰竭，预防比治疗更重要。The incidence and treatment of respiratory failure after operating esophagealand cardiac carcinoma were analized.There were ten patients, the incidence rate was 6. 1%(10/165),the death rate was 2.4%(4/165),slx patients were cured(3.6%).The key pointsof treatment of respiratory failure after operation were as follow:assisted ventilation assoon as possible,evacuation of respiratory secretion as clear as we can,control of pul-monary infection,early discovery and management of other intrathoracic pathology.Thesimple low respiratory function is not the definite contraindication of operation,Prophy-laxis of respiratory failure after esophageal and cardiac carcinoma operation is more impor-tant than therapy.

关 键 词：食管肿瘤 手术后 呼吸衰竭 辅助通气 

分 类 号：R735.105[医药卫生—肿瘤]