治疗食管、贲门癌术后发生急性呼吸窘迫综合征的体会  

The treatment for ARDS follow carcinectomy of esophagus or cardia

作　　者：陈晓峰[1] 苏晋梅[1] 周清华[2] 王允华 许军涛[2] 

机构地区：[1]山西长治医学院附属和平医院,046000 [2]华西医科大学附属第一医院

出　　处：《肿瘤防治研究》1998年第1期37-38,共2页Cancer Research on Prevention and Treatment

摘　　要：为探讨ARDS的防治措施，本文分析了11例食管、贲门癌术后发生ARDS的发病特点及防治方法。患者有长期慢性肺部疾患、高龄、高血压病者术后容易发生。术中对肺组织的损伤及术中，术后过量输液，肺部感染及休克，缺氧可能是术后发生ARDS的重要原因之一。治疗应积极清除呼吸道分泌物，辅助通气，保持气道通畅，控制肺部感染，尤其是尽早行气管插管或气管切开为抢救成功的关键。术前肺功能检查应结合临床来综合分析。To probe for the prophylaxis and treatment for Acute respiratory Distress syndrome(ARDS)folloWing resection of esophageal or cardiac carcinoma, 11cases were studied. Theresults showed that the patients who had chronic Obstructive pnlmonary diseaes (CVPD),hypertension, senility or somoking for a long time were subject to ARDS, Injury to lung inoperation,overload infusion in and/or after operation, shock or apnea also caused ARDS,The treatment included clearing away respiratory tract secretion, keeping respiratory tractfree assistent ventilation, controlling pulmonary infection, Early executing tracheotomy ortracheointubation was the kempoint in rescuing pationt successfully. Lung function testmust be analysed synthetically with the clinical findings before operation.

关 键 词：食管肿瘤 贲门癌 手术后 呼吸窘迫综合征 ARDS 

分 类 号：R735.1[医药卫生—肿瘤] R563.8[医药卫生—临床医学]