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目的研究分析食道贲门癌术后患者肺功能变化与肺部并发症的关系。方法回顾性分析我院自2008年6月～2010年6月收治的376例食管贲门肺癌患者的临床资料,对其肺部并发症与肺功能和血气分析关系进行资料的统计学分析。结果本组术后发生并发症85例(22.61%),其中肺部感染32例(37.65%)、支气管哮喘23例(27.06%)、肺不张20例(23.53%)、呼吸衰竭10例(11.76%)。患者术前术后Cdyn、MVV、Fres、Zrs指标相比均有差异,具有统计学意义(P<0.05)。结论老年食管贲门肺癌患者肺功能与肺部并发症的发生有一定相关性,肺功能各项指标较好者术后发生肺部并发症的几率低。
Objective To study the relationship between pulmonary function changes and pulmonary complications in postoperative patients with esophageal and cardiac cancer. Methods The clinical data of 376 patients with esophageal and cardiac cancer who were admitted to our hospital from June 2008 to June 2010 were retrospectively analyzed. The data of pulmonary complications and pulmonary function were analyzed statistically. Results There were 85 cases (22.61%) of the complications occurred in this group, including 32 cases of pulmonary infection (37.65%), 23 cases of bronchial asthma (27.06%), 20 cases of atelectasis (23.53%) and 10 cases of respiratory failure 11.76%). There were significant differences in the levels of Cdyn, MVV, Fres and Zrs before and after surgery (P <0.05). Conclusion Pulmonary function in elderly patients with esophageal and cardiac cancer has a certain correlation with the occurrence of pulmonary complications. The better the indicators of lung function, the lower the incidence of postoperative pulmonary complications.