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目的探讨食管癌术后并发呼吸衰竭(RF)的临床治疗体会。方法对2003年1月～2011年12月在我院就诊的45例食管癌术后并发RF患者的临床资料行回顾性分析,总结此症的诱发因素及诊治体会。结果本组45例患者行食管癌相关术式后并发RF,合并肺部感染36例,心律失常10例,心衰5例,RF发生时间为术后36h～8d,平均(3.5±2.1)d;呼吸机辅助通气时间36h～24d,平均(5.7±3.3)d;抢救成功42例(93.3%),死亡3例(6.7%)。结论明确食管癌术后并发RF的诱因,术前做好积极防治措施,术后一旦发生积极抢救,对改善患者预后有重要意义。
Objective To explore the clinical experience of postoperative esophageal cancer complicated with respiratory failure (RF). Methods The clinical data of 45 patients with postoperative esophageal cancer complicated with RF who were treated in our hospital from January 2003 to December 2011 were analyzed retrospectively to summarize the predisposing factors and diagnosis and treatment of this disease. Results The group of 45 patients underwent esophageal cancer-associated surgery after RF, with pulmonary infection in 36 cases, arrhythmia in 10 cases and heart failure in 5 cases. The RF occurrence time was 36 h to 8 d after operation (mean, 3.5 ± 2.1 d) ; Ventilator-assisted ventilation time 36h ~ 24d, an average of (5.7 ± 3.3) d; successful rescue 42 cases (93.3%), died in 3 cases (6.7%). Conclusions Clear postoperative esophageal cancer complicated by the causes of RF, positive prevention and treatment measures before doing a positive postoperative rescue, to improve the prognosis of patients with great significance.