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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.