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作者报告1991年3月至1995年1月对7例合并呼吸功能不全的食管、贲门癌手术治疗。患者65岁~73岁。既往史中有慢性支气管炎、肺气肿5例,严重支气管哮喘1例,肺结核1例。本组6例术前肺功能检查,第1秒时间肺活量<5O%2例(分别为44.29%,44.50%),肺通气功能中度阻塞性减退4例,通气功能阻塞为主混合性重度减退2例。食管癌、贲门癌切除、食管胃弓下吻合5例,贲门癌全胃切除、脾切除、食管空肠弓下吻合1例,贲门癌切除、肝左叶部分切除、脾切除、食管胃弓下吻合1例,本组术后Ⅰ型呼吸衰竭1例,Ⅱ型呼吸衰竭2例,痊愈2例,死亡1例。
The authors reported on surgical treatment of esophageal and cardiac cancers with combined respiratory insufficiency from March 1991 to January 1995. The patient was 65 to 73 years old. In the past history, there were 5 cases of chronic bronchitis and emphysema, 1 case of severe bronchial asthma, and 1 case of pulmonary tuberculosis. In this group of 6 patients with preoperative pulmonary function tests, the first 2 seconds of lung capacity <5O% 2 cases (44.29%, 44.50%, respectively), 4 cases of moderate obstructive pulmonary ventilation function, ventilation function obstruction Mixed severe reduction in 2 cases. Esophageal cancer, cardiac cancer resection, esophagogastric bow anastomosis in 5 cases, cardial cancer total gastrectomy, splenectomy, esophageal jejunal bow anastomosis in 1 case, cardiac cancer resection, partial resection of the left lobe, splenectomy, esophagogastric bow anastomosis In 1 patient, there was 1 patient with type I respiratory failure, 2 patients with type II respiratory failure, 2 patients recovered, and 1 patient died.