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目的探讨食管癌术后心律失常的危险因素。方法选取食管癌手术患者724例,按术后48h内是否发生心律失常将患者分为两组,发生心律失常157例(A组),未发生心率失常567例(B组);回顾性分析发生心律失常的危险因素。结果 A组术后早期心律失常类型包括窦性心动过速、室上性心动过速、房性早搏、室性早搏、心房纤颤及室性心动过速等。A组高龄、氧合指数<150mmHg、三切口手术、术前合并肺功能减退、高血压及低血钾心律失常发生率高于B组(P<0.05);A组管状胃代食管患者心律失常发生率低于B组(P<0.05);其中氧合指数<150mm Hg、高龄是发生心律失常的独立危险因素。结论高龄、氧合指数<150mm Hg、三切口手术、术前合并肺功能减退、高血压及低血钾等是造成食管癌术后心律失常的危险因素,管状胃代食管患者术后早期心律失常发生率低。
Objective To investigate the risk factors of postoperative arrhythmia in esophageal cancer. Methods A total of 724 patients undergoing esophageal cancer surgery were enrolled and divided into two groups according to whether arrhythmia occurred within 48 hours after operation. There were 157 cases of arrhythmia (group A) and 567 cases of arrhythmia (group B). The retrospective analysis Risk factors for arrhythmia. Results A group of early postoperative arrhythmia types include sinus tachycardia, supraventricular tachycardia, atrial premature beats, ventricular premature beats, atrial fibrillation and ventricular tachycardia. A group of elderly, oxygenation index <150mmHg, three incision surgery, preoperative pulmonary function decline, hypertension and hypokalemia arrhythmia incidence was higher than the B group (P <0.05); A group of gastric esophageal esophageal arrhythmia The incidence was lower than that of group B (P <0.05). The oxygenation index was less than 150 mm Hg, and the elderly was an independent risk factor of arrhythmia. Conclusion Elderly patients with oxygenation index <150 mm Hg, triple incision operation, preoperative pulmonary function decline, hypertension and hypokalemia are the risk factors of postoperative arrhythmia of esophageal cancer. Early postoperative arrhythmia The incidence is low.