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目的分析食管癌术后发生呼吸衰竭的主要原因以及治疗措施。方法对2005年1月-2012年12月期间行食管癌术后发生呼吸衰竭的27例患者的临床资料进行回顾性分析。结果 27例患者中,23例系高龄患者,术前15例患者肺功能中-重度损伤;术后19例并发严重肺部感染,8例有吻合口瘘、胸胃瘘、乳糜胸、术后二次出血等并发症。结论食管癌术后肺部感染、手术相关并发症是食管癌术后发生呼吸衰竭的最主要和直接原因,对于高龄、肺功能差等高危患者,加强围手术期呼吸道的管理,改进手术操作,能有效避免呼吸衰竭的发生。
Objective To analyze the main causes and treatment of respiratory failure after esophageal cancer surgery. Methods The clinical data of 27 patients who underwent respiratory failure after esophagectomy between January 2005 and December 2012 were analyzed retrospectively. Results Of the 27 patients, 23 were elderly patients and 15 were preoperatively with moderate or severe lung injury. Nineteen patients had severe pulmonary infection after operation, eight had anastomotic fistula, thoracic gastric fistula, chylothorax, and postoperative Secondary bleeding and other complications. Conclusions Postoperative pulmonary infection and surgical complications of esophageal cancer are the most important and direct causes of respiratory failure after esophageal cancer surgery. For elderly patients with high-risk patients with poor lung function, the management of perioperative respiratory tract should be strengthened to improve the surgical operation, Can effectively prevent the occurrence of respiratory failure.