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目的:探讨乳腺癌患者术中、术后发生猝死的原因及预防抢救措施。方法:对1991年至2000年底乳腺癌患者术中、术后发生的猝死及心肺事件8例进行回顾性临床多因素分折。结果:猝死原因:1)急性心肌梗死;2)急性肺梗塞;3)原发性室颤。结论:乳腺癌患者术中、术后猝死及突发心肺重症疾患与术前诸危险因素有关:心肌缺血、高血压、QTd增加、血高凝状态、心脏病史。
Objective: To investigate the causes of postoperative sudden death in breast cancer patients and the preventive measures. Methods: A retrospective clinical multivariate analysis of 8 cases of sudden death and cardiopulmonary events occurred in breast cancer patients from 1991 to the end of 2000. Results: Sudden death causes: 1) acute myocardial infarction; 2) acute pulmonary infarction; 3) primary ventricular fibrillation. Conclusion: The intraoperative and postoperative sudden death and severe cardiopulmonary and pulmonary disease in breast cancer patients are related to preoperative risk factors: myocardial ischemia, hypertension, QTd increase, hypercoagulable state and history of heart disease.