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目的探讨食管癌、贲门癌患者术后发生室上性心动过速(PSVT)的危险因素及临床预防、处理措施。方法收集2002年1月-2007年1月间31例行食管癌、贲门癌手术后发生PSVT患者的临床资料(PSVT组),并随机抽取60例同期行食管癌、贲门癌手术后未发生PSVT的患者做对照(对照组),采用χ2检验和logistic回归分析可能导致PVST的危险因素。结果术后发生PVST的危险因素包括高龄(≥65岁)、术前合并高血压、术前肺功能异常、术前活动平板试验阳性、麻醉和手术时间、术后低氧血症、电解质和酸碱平衡紊乱,而性别、手术入路、吻合口的位置等与PVST的发生无相关性。结论针对食管癌、贲门癌患者术后发生PVST的危险因素,应积极地完善术前检查和准备,并辅以药物治疗,同时尽量缩短麻醉和手术时间,术后加强监测,方可降低PVST的发生率。
Objective To investigate the risk factors and clinical prevention and treatment of supraventricular tachycardia (PSVT) in patients with esophageal and cardiac cancer after operation. Methods The clinical data of PSVT patients (PSVT group) from 31 patients who underwent esophagectomy and cardia cancer surgery between January 2002 and January 2007 were collected. Sixty patients with esophageal cancer and gastric cardia carcinoma without PSVT Of patients (control group), using χ2 test and logistic regression analysis may lead to PVST risk factors. Results The postoperative risk factors of PVST included senile (≥65 years old), preoperative hypertension, preoperative pulmonary dysfunction, positive preoperative plate test, anesthesia and operation time, postoperative hypoxemia, electrolytes and acid Alkaline imbalance, and sex, surgical approach, anastomotic location and PVST no correlation. Conclusions For risk factors of postoperative PVST in patients with esophageal cancer and cardia cancer, preoperative examination and preparation should be perfected actively and supplemented with medication. At the same time, the time of anesthesia and operation should be shortened as well as monitoring after operation to reduce the PVST Occurrence rate.