食管癌根治术患者单／双肺通气术后肺部感染的发生情况  

Postoperative pneumonia of esophageal patients undergoing single/two lung ventilation

作　　者：王丽君[1] 高蓉[1] 许仄平[1] 万梅方[1] 鲁振[1] 顾连兵[1] 

机构地区：[1]江苏省肿瘤医院麻醉科南京市,210009

出　　处：《临床麻醉学杂志》2012年第9期844-846,共3页Journal of Clinical Anesthesiology

基　　金：江苏省自然科学基金资助项目(BK2010588);江苏省肿瘤医院青年基金资助项目(ZQ200906)

摘　　要：目的比较单/双肺通气对食管癌根治术患者术后肺部感染的影响。方法选择本院2009年1～12月收治349例行食管癌根治术患者,依据术中通气方式分为单肺通气组(OLV组)和双肺通气组(TLV组)。记录两组患者术后肺部感染率、住院时间以及术前、术中部分因素的差异。结果 OLV组患者术后肺部感染发生率显著高于TLV组(34.3%vs.24.6%,P<0.05),OLV住院时间明显长于TLV组[(27.1±9.1)dvs.(23.0±6.6)d,P<0.05]。结论在OLV条件下行食管癌根治术,患者的术后感染率明显高于TLV,并可能导致住院时间延长。Objective To compare the influence of one-lung ventilation （OLV） and two-lung ventilation （TLV） on pulmonary infection after transthoracie esophagectomy for esophageal cancer. Methods A retrospective review of patients who underwent transthoracic esophagectomy for esophageal cancer between January and December in 2009 was performed. A total of 349 patients were enrolled in our hospital, 122 of the patients were intubated with left double-lumen tube and received OLV after the thorax opened, and 227 of the patients were intubated with single-lumen tube and received TLV during the operation. The postoperative pneumonia rate, length of hospital stay and some factors that are associated with pulmonary complications pre-and peri-operation in the two groups were collected and analyzed. Results Patients in the group OLV had a higher postoperative pneumonia rate compared with that of the group TLV （34.3% vs. 24. 6%） and had a longer hospital stay than that of the group TLV （27.1±9.1） d vs. 23.0±6.6） d] （P〈0.05）. Conclusion OLV produces a higher rate of postoperative pneumonia and a longer hospital stay in patients who underwent transthoracic esophageetomy for esophageal cancer.

关 键 词：食管癌 经胸食管切除术 单肺通气 术后肺部感染 

分 类 号：R614[医药卫生—麻醉学]