食管、贲门癌患者术后并发室上速的临床分析  

Clinical Analysis of Postoperative Supraventricular Tachycardia in Patients with Esophageal Cancer or Cardia Cancer

作　　者：张凡[1] 刘建[1] 李波凌[1] 郭昆亮[1] 周新涛[1] 

机构地区：[1]安徽省安庆市立医院心胸外科,246003

出　　处：《中华全科医学》2010年第3期300-302,共3页Chinese Journal of General Practice

摘　　要：目的探讨食管癌、贲门癌患者术后发生室上性心动过速(PSVT)的危险因素及临床预防、处理措施。方法收集2002年1月-2007年1月间31例行食管癌、贲门癌手术后发生PSVT患者的临床资料(PSVT组),并随机抽取60例同期行食管癌、贲门癌手术后未发生PSVT的患者做对照(对照组),采用χ2检验和logistic回归分析可能导致PVST的危险因素。结果术后发生PVST的危险因素包括高龄(≥65岁)、术前合并高血压、术前肺功能异常、术前活动平板试验阳性、麻醉和手术时间、术后低氧血症、电解质和酸碱平衡紊乱,而性别、手术入路、吻合口的位置等与PVST的发生无相关性。结论针对食管癌、贲门癌患者术后发生PVST的危险因素,应积极地完善术前检查和准备,并辅以药物治疗,同时尽量缩短麻醉和手术时间,术后加强监测,方可降低PVST的发生率。Objective To explore the clinical risk factors of postoperative supraventricular tachycardia（ PSVT）, the prevention and treatment measures in patients with esophageal cancer or cardia cancer. Methods The clinical data of 31 esophageal or eardia cancer patients with postoperative FSVT（ PSVT group） and 60 patients without postoperative PSVT in the same period（ control group） from January 2002 to January 2007 were collected and analyzed by using chi-square test and logistic regression. Results The risk factors of postoperative PVST include the senility（≥65 years old）, preoperative hypertension, abnormal preoperative pulmonary function, preoperative positive treadmill exercise test, anesthesia and surgical time, postoperative hypoxemia, electrolyte and acid-base balance disorders;but not include gender, surgical approach and the location of anastomotic stomas. Conclusion To improve the preoperative examination and preparation actively, supplement by drug therapy, at the same time, minimize the duration of anesthesia and operationl time, strengthen the monitoring on the status of patients after operation may reduce the incidence of PVST

关 键 词：食管癌 贲门癌 室上性心动过速 危险因素 

分 类 号：R735.1[医药卫生—肿瘤] R541.71[医药卫生—临床医学]