摘要
探讨预防性气管切开在伴慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)且长期大量吸烟的上段食管癌术后的应用,分析其对患者术后肺部感染、低氧血症、心律失常的影响。回顾性分析我科2011年6月～2013年1月伴有COPD及长期大量吸烟的上段食管癌行手术切除颈部吻合的病例,并分为预防性气管切开组和非预防性气管切开组。统计并分析两组术后肺部感染、低氧血症、心律失常等并发症的发生情况。结果对于上段食管癌行根治手术的患者,尤其是伴有长期大量吸烟及COPD的患者来说,预防性气管切开可以起到预防术后呼吸道并发症的发生,并能减少术后心律失常的发生的作用,其可以做为上段食管癌重症患者的一种预防围手术期并发症的方式。
To explore the effect of preventive tracheotomy in the radical treatment of upper esophageal carcinoma with COPD and tong-term smoking, and investigate its influence on the lung infection, respiratory failure, and cardiac arrhythmia. A retrospective analysis was made of the cases of the radical treatment of upper esophageal carcinoma from 2011 June to 2013 January in our department. The cases were divided into preventive tracheotomy group and non--preventive tracheotomy group. And investigation of incidence of lung infection, respiratory failure, and cardiac arrhythmia was made. For the patients with the radical resection of upper esophageal carcinoma, especially in patients with long--term smoking and COPD, preventive traeheotomy can decrease the incidence of pulmonary infection, respiratory failure and cardiac arrhythmia after operation. And it would play an important roll in the peri-operative process.
出处
《医学与哲学（B）》
2013年第8期29-30,78,共3页
Medicine & Philosophy(B)
关键词
预防性气管切开
上段食管癌
呼吸道并发症
心律失常
preventive traeheotomy, upper esophageal carcinoma, respiratory complications, cardiac arrhythmia
