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目的 探讨造成老年食管癌术后呼吸衰竭 (RF)的危险因素及防治措施。方法 回顾分析我科 1993年 1月～ 1999年 12月≥ 60岁老年食管癌手术 3 6例及术后并发RF7例的临床资料。结果 本科术后RF发生率为 19.4%(7/3 6) ,RF发生时间为术后 2～ 60小时 ;死亡率为 42 .9% (3 /7)。结论 老年患者术前心肺功能不全、伴随疾病、手术创伤、肺部感染和胸胃扩张是造成术后RF的主要原因。对高危病人术前心肺功能的评估 ,周密的术前准备和严密的围术期监护 ,及时发现和处理并发症是防治术后RF的关键。
Objective To investigate the risk factors and prevention and treatment of postoperative respiratory failure (ESR) in elderly patients with esophageal cancer. Methods A retrospective analysis of our department from January 1993 to December 1999 ≥ 60 years old esophageal cancer surgery in 36 cases and postoperative complications RF7 cases of clinical data. Results The incidence of postoperative RF was 19.4% (7/3 6), RF occurred 2 to 60 hours postoperatively, and the mortality rate was 42.9% (3/7). Conclusion Elderly patients with preoperative cardiopulmonary insufficiency, associated with disease, surgical trauma, pulmonary infection and thoracic dilatation are the main causes of postoperative RF. The evaluation of preoperative cardiopulmonary function in high-risk patients, careful preoperative preparation and close perioperative monitoring, timely detection and management of complications is the key to preventing and treating postoperative RF.