食管癌310例术后发生心律失常的相关因素探讨  

Correlation factor analysis of postoperative cases of esophageal carcinoma with arrhythmia

作　　者：何萍[1] 邱阳[1,1] 杨康[1] 刘铭[1] 廖克龙[1] 张伟[1] 熊刚[1] 李军[1] 王海东[1] 吴蔚[1] 

机构地区：[1]第三军医大学西南医院胸心外科ICU,重庆400038

出　　处：《重庆医学》2008年第4期361-362,364,共3页Chongqing medicine

摘　　要：目的探讨食管癌术后心律失常的危险因素及防治措施。方法310例食管癌术后患者进行连续心电监护,72例发生心律失常。对多项因素进行分类统计。结果术后36h内是高峰期,以窦性心动过速多见。年龄>60岁、术前ECG异常、FEV1/FVC<70%、弓上吻合、术前血钾<4mmol/L,有合并症者,术后易发心律失常(前2项P<0.01,后4项P<0.05)。结论年龄、术前ECG、FEV1/FVC、术式、术前血钾水平以及合并症等6项临床因素,与术后发生心律失常有密切关系。寻找并及时纠正诱因,合理应用抗心律失常药物,是治疗心律失常的非常重要的方法。Objective To investigate risk factor of arrhythmia in postoperative patients with esophageal carcinoma,and to find the way to prevent it. Methods 63 cases were found arrhythmia by consecutive electrocardiogram monitoring in 270 patients after esophageal cancer operation, multiple factors were classification statistic. Results Arrhythmia crest-time was in postoperative 36 hours, which sinus tachycardia morely appeared. Age〉 60 years old, preoperativly ECG dysfunction（P〈0.01）. FEV1 / FVC〈 70 %, esophagogastri anastomasis position was on the aortic arch, preoperativly blood potassium density 〈4mmol/L,and complications（P 〈0.05） are correlated with arrhythmia. Conclusion Age, preoperativly ECG, FEV1/FVC, esophagogastri anastomasis position, preoperativly blood potassium density,and complication are correlated with arrhythmia. It is very important therapia method of arrhythmia that finding and removing remote cause,reasonable using antiarrhythmic drug.

关 键 词：食管癌 术后 心律失常 

分 类 号：R735.1[医药卫生—肿瘤] R619[医药卫生—临床医学]