摘要
目的 :探讨食管癌放疗后手术早期低氧血症的预防和治疗。方法 :手术治疗食管癌放疗后患者 2 0 3例 ,发生早期低氧血症 98例 ,占 48.3% ,未发生 10 5例 ,占 5 1.7%。回顾分析手术早期低氧血症与术前肺功能、血气、放射治疗量、放射距手术时间、手术时间、术前准备、术后治疗诸因素的关系。结果 :98例低氧血症中 90 %为足量放疗病人 ,术前肺功能、血气分析均显示异常 ,手术时间相对较长 ,术前准备时间短 ,部分伴随呼吸道疾病。结论 :食管癌放疗后再手术 ,患者应充分术前准备 ,手术时间应尽量缩短 ,术后采取有效综合措施 ,可预防、减少低氧血症、呼衰的发生。
Purpose:To study the methods of therapy and to prevent early hypoxemia after post-radiotherapy surgical resection of oesophageal carcinoma. Methods:Retrospective study of 203 cases of oesophageal carcinoma patients who had undergone post-radiotherapy operation. Early hypoxemia occured in 98 cases (48.3%),We analyzed the relationship between hypoxemia and lung function, arterial aero-analysis, radiotherapy dosage before operation, intermission between radiotherapy and operation,the time of operation pre-operation prepartion and treatment after hypoxemia are alsoanalyzed.Results:90% of patients were given full-dose radiotherapy, lung function and arterial aero-aralysis were normal before operation, time of operation was long and pre-operation preparation was relatively short in these hypoxemia cases, and some of them had had respiratory disease.Conclusions:Pre-operative preparation should be carried out satisfactorily, the operation time be shortened as much as possible and combined with effective treatment we can thus reduce the rate of hypoxemia and respiratory failure.
出处
《中国癌症杂志》
CAS
CSCD
2001年第2期145-147,共3页
China Oncology
关键词
食管癌
放射治疗
外科手术
低氧血症
oesophageal carcinoma
post-radiotherapy
operation
hypoxemia
