食管、贲门癌术后死亡率约为6,除吻合口瘘外,以呼吸系统并发症最常见。目前吻合口瘘发生率降至4％～5％,而肺炎,肺不张导致呼吸功能衰竭则成为食管,贲门癌围术期死亡的主要原因之一。本文就其病因、诊断及治疗进行讨论。 1 临床资料 1984～1993年我院共进行食管、贲门癌手术962例,术后发生肺部并发症32例,发生率为3.34％,其中男26例,女6例。年龄46～72岁,65岁以上24例,占75％。食管癌21例,赍门癌11例 The postoperative mortality rate of esophageal and cardiac cancer is approximately 6. With the exception of anastomotic leakage, respiratory complications are the most common. At present, the incidence of anastomotic leakage has dropped to 4% to 5%, and pneumonia and atelectasis leading to respiratory failure have become one of the leading causes of perioperative death of esophageal and cardiac cancers. This article discusses its causes, diagnosis and treatment. 1 Clinical data From 1984 to 1993, 962 cases of esophageal and cardiac cancer were performed in our hospital. 32 cases of pulmonary complications occurred after operation. The incidence rate was 3.34%, including 26 males and 6 females. Ages 46 to 72, 24 and over 65, accounting for 75%. 21 cases of esophageal cancer and 11 cases of cardiac cancer