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食管癌术后呼吸衰竭的治疗

THE TREATMENT OF PATIENTS WITH RESPIRATORY FAILURE AFTER OPERATION OF ESOPHAGEAL AND CANDIAC CANCER
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摘要 分析10例食管癌、贲门癌术后呼吸衰竭的发病和治疗。发病率占同期食管癌、贲门癌手术6.1%(10/165)。治愈6例,死亡4例,死亡例数占同期食管癌贲门癌手术病人数的2.4%。术后呼吸衰竭治疗的关键在于尽早使用辅助通气,彻底清除呼吸道内分泌物,控制肺内感染,早期发现并处理胸内其它病变。单纯低肺功能也非绝对手术禁忌症。对食管癌贲门癌术后呼吸衰竭,预防比治疗更重要。 The incidence and treatment of respiratory failure after operating esophagealand cardiac carcinoma were analized.There were ten patients, the incidence rate was 6. 1%(10/165),the death rate was 2.4%(4/165),slx patients were cured(3.6%).The key pointsof treatment of respiratory failure after operation were as follow:assisted ventilation assoon as possible,evacuation of respiratory secretion as clear as we can,control of pul-monary infection,early discovery and management of other intrathoracic pathology.Thesimple low respiratory function is not the definite contraindication of operation,Prophy-laxis of respiratory failure after esophageal and cardiac carcinoma operation is more impor-tant than therapy.
作者 陈家华 方刚
出处 《宁夏医学院学报》 1996年第4期25-26,共2页 Journal of Ningxia Medical College
关键词 食管肿瘤 手术后 呼吸衰竭 辅助通气 esophageal neoplasms cardia,carcinoma respiratory failure ventilation
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