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目的:分析高龄食管癌患者术后心脏并发症的原因和临床处理。方法:对82例70～85岁食管癌手术患者进行回顾性分析。结果:术后心律失常24例,其中窦性心动过速3例,室上性心律失常12例,室性心律失常4例,有5例表现为不同类型心律失常混合发作。合并心功能不全6例,全组无手术死亡。结论:高龄食管癌患者心脏功能储备差,术后易出现心功能不全、心律失常等心脏并发症。但充分术前准备,围手术期适当的处理仍能使高龄食管癌患者平稳度过围手术期。
Objective: To analyze the causes and clinical treatment of postoperative cardiac complications in elderly patients with esophageal cancer. Methods: A retrospective analysis of 82 patients with esophageal cancer aged 70-85 years was performed. Results: There were 24 cases of postoperative arrhythmia, including 3 cases of sinus tachycardia, 12 cases of supraventricular arrhythmia, 4 cases of ventricular arrhythmia, 5 cases showed mixed type of arrhythmia. Six patients with cardiac insufficiency, all without death. Conclusions: The elderly patients with esophageal cancer have poor cardiac function reserve, cardiac complications such as cardiac insufficiency and cardiac arrhythmia. However, adequate preoperative preparation, perioperative management can make the elderly patients with esophageal cancer smoothly perioperative period.