食管癌根治术后再次气管插管的原因与对策探讨  被引量:4

The pathogenesis and preventive measures of reintubation in patients undergoing esophagectomy

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作  者:周源[1] 汪栋[1] 韩开宝[1] 许罡[1] 张剑锋[1] 刘宏[1] 

机构地区:[1]解放军八一医院胸心外科,南京210002

出  处:《临床肿瘤学杂志》2015年第8期738-740,共3页Chinese Clinical Oncology

摘  要:目的:探讨食管癌根治术后患者再次气管插管的病因及预防再插管损伤的措施。方法回顾性分析2012年1月至2013年12月收治的470例施行食管癌根治术的患者中14例术后再次气管插管的临床资料与转归。结果再次气管插管14例,占全组患者的2.98%(14/470);术后气管插管拔除至再次气管插管的时间间隔为0.5∽360 h,中位间隔时间为50 h;其中因呼吸功能衰竭需再次气管插管10例,占71.4%(10/14);再次气管插管后救治成功9例,成功率为64.3%(9/14)。结论重症呼吸功能衰竭是食管癌根治术后患者再次气管插管的主要病因;预防再次气管插管以及避免其次生风险的关键在于预防各种术后并发症。Objective To investigate the pathogenesis of reintubation in patients undergoing esophagectomy and analyze the preventive measures of reintubation. Methods From January 2012 to December 2013, 470 patients with esophageal carcinoma were performed surgery in our department. Among them 14 patients were reintubated after esophagectomy. Their clinical data and prognosis were retrospectively analyzed. Results 14 cases of 470 patients were reintubated, accounting for 2.98%( 14/470) . From endotracheal tube removal after surgery to reintubation, the time interval were 0.5 to 360 hours, with a median time of 50 hours. 10 cases received reintubation due to respiratory failure, accounting for 71.4%( 10/14) . Of 14 patients who received reintubation, 9 cases were survived. Successful treatment rate was 64.3%( 9/14) . Conclusion Respiratory failure is the major cause of reintubation in patients who under.going esophagectomy. Prevention and timely treatment of postoperative complications may avoid reintubation and its secondary injuries.

关 键 词:食管癌 手术 再次气管插管 

分 类 号:R735.1[医药卫生—肿瘤]

 

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