食管癌术后心律失常危险因素分析  

Analysis on the Risk Factors of Postoperative Arrythmia in Patients Received Esophagectomy for Esophageal Carcinoma

作　　者：乔庆[1] 李晓斌[1] 李强[1] 陆献成[1] 

机构地区：[1]上海市浦东新区公利医院胸外科,200135

出　　处：《医学理论与实践》2012年第16期1940-1941,1954,共3页The Journal of Medical Theory and Practice

摘　　要：目的:回顾分析食管癌术后心律失常的危险因素。方法:收集1998年3月-2012年3月共336例食管癌患者手术资料,对术后心律失常可能的危险因素进行logistic回归分析。结果:术前心电图异常、FEV1/FVC<70%、手术时间和吻合口部位、术后24hCVP增高等是术后发生心律失常的危险因素。结论:综合以上危险因素,充分的术前准备、改善术前心肺功能,术中轻柔操作,术后有效镇痛、排痰,适当的静脉补液量控制,可以预防或减少术后心律失常的发生。Objective：To study the risk factors of arrythmia in postoperative patients with esophageal carcinoma.Methods：The clinical data of 336 cases with arrythmia after esophageal cancer surgery in our hospital from March 1998 to March 2012 were collected and analyzed,multifactor nonconditional logistic regression was performed.Results：Abnormal cardiogram before operation,FEV1/FVC 70%,lengthened operation time,anastomosis site,rised CVP during 24h after operation were risk factors in the development of arrythmia after esophageal carcinoma operation.Conclusion：It is necessary to strengthen preoperative preparation,improve heart and lung function,gently operation,pain-relief,sputum removal and appropriate amount of fluid can prevent or decrease the incidence of postoperative arrythmia.

关 键 词：食管癌 心律失常 危险因素 

分 类 号：R541.7[医药卫生—心血管疾病]