摘要
目的探讨老年食管癌患者术后肺部并发症的相关因素。方法回顾性分析本院收治的83例老年食管癌患者的临床资料,以术后是否发生肺部并发症分为观察组与对照组。比较2组患者一般临床资料的差异,并探讨患者术后肺部并发症的相关因素。结果本研究术后肺部并发生率为20.45%(17/83),死亡率为1.21%(1/83);观察组患者在吸烟指数≥400、术前合并低蛋白血症、术前FEV1占预计值%<50%、术中出血量≥800 mL、术中输液量≥3 000 mL、手术时间>3 h、吻合平面在主动脉弓上等方面的比例均明显高于对照组,差异有统计学意义(P<0.05)。结论影响老年食管癌患者术后发生肺部并发症的原因是多方面的,必须针对其影响因素加强围术期处理,降低术后肺部并发症的发生率。
Objective To explore the related factors of postoperative pulmonary complications in elderly patients with esophageal cancer.Methods Data of 83 elderly patients with esophageal cancer was retrospectively analyzed,and the patients were divided into the observation group and the control group according to whether they had postoperative pulmonary complications.The clinical data of the two groups were compared and related factors of postoperative pulmonary complications were explored.Results The incidence of postoperative pulmonary complications was 20.45％ （17/83）,and the mortality rate was 1.21％ （1/83）.The factors of smoking index ≥400,hypoproteinemia,FEV1 percent predicted value ％ ＜ 50 ％,blood loss ≥800 mL,the intraoperative infusion volume ≥3 000 mL,operative time＞3 h,in accordance with the proportion of the plane in the aortic arch of the observation group were significantly higher than those of control group.The difference was of statistical significance （P ＜ 0.05）.Conclusion Many factors can affect the occurrence of postoperative pulmonary complications in elderly patients with esophageal cancer.We should strength the perioperative treatment and management to reduce the incidence of postoperative pulmonary complications.
出处
《实用临床医药杂志》
CAS
2013年第16期101-103,共3页
Journal of Clinical Medicine in Practice
关键词
老年
食管癌
肺部感染
肺不张
呼吸衰竭
elderly
esophageal cancer
lung infection
atelectasis
respiratory failure
