摘要
637例食管癌及贲门癌开胸术后38例发生了急性呼吸困难,22例死亡。本文分析了开胸术后急性呼吸困难的原因,发现术后痰液增多、排痰无力、肺部感染、气胸、肺不张,吸人性肺炎最为常见,一部分属ARDS。作者提出了防治这些因素的积极措施。本并发症同吻合口瘘一样后果严重,降低其发生率可明显降低食管癌手术死亡率。
Thirty-eight cases had acute respiratory distress following thoracotomy in 637 patients having esophageal or cardiac carcinoma from 1982-1992. Twenty-two patients died of acute respiratory failure. This complication was more frequent than the anastomotic leakage and the results as same as it. Preoperative pulmonary fanction was normal in all of the patients. The causes of acute respiratory distress following thoracotomy were analyzed, they included the increase of sputum, difficult in expectoration, pneumothorax, atelectasis, aspiration pneumonia and ARDS. The treatment and preventive measures of this complication were discussed.
出处
《华西医学》
CAS
北大核心
1993年第2期202-204,共3页
West China Medical Journal
关键词
呼吸困难
食管肿瘤
Esophageal carcinom, Acute respiratory distress
