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| ICU食管癌术后肺部并发症的临床调查研究 | |
| 引用本文： | 茆 勇,应佑国. ICU食管癌术后肺部并发症的临床调查研究[J]. 现代肿瘤医学, 2015, 0(21): 3081-3083. DOI: 10.3969/j.issn.1672-4992.2015.21.010 |
| 作者姓名： | 茆 勇 应佑国 |
| 作者单位： | 上海交通大学医学院附属第三人民医院重症监护室，上海 201999 |
| 基金项目： | 上海市科学技术委员会基金(编号:10JC1409200) |
| 摘 要： | 目的:探讨ICU食管癌术后肺部并发症情况，分析其危险因素。方法:选取2012年2月到2015年2月115例食管癌患者为研究对象，均手术治疗并入ICU观察，分析并发症发生率情况及危险因素。结果:并发症总发生率26.96%，其中肺炎发生率41.94%，气胸发生率12.90%，胸腔积液发生率9.68%，呼吸衰竭发生率19.35%，脓胸发生率9.68%，急性呼吸窘迫综合征发生率6.45%，肺炎发生率和其他并发症发生率比较差异有统计学意义（P<0.05）。ICU食管癌术后肺部并发症单危险因素有年龄（≥65岁）、术中出血量（≥500ml）、吸烟、有基础疾病、营养状态差、肿瘤分期高（Ⅲ期）、手术经弓前入路、术后存在并发症、术后硬膜外未镇痛等（P均<0.05），均为独立危险因素（P均<0.05），而和吻合方法无关（P>0.05）。结论:ICU食管癌术后肺部并发症和患者本身、手术因素关联性较大。 |
| 关 键 词： | ICU 食管癌 术后肺部并发症 临床防治 |
Clinical investigation of postoperative pulmonary complications in ICU |
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| Mao Yong,Ying Youguo. Clinical investigation of postoperative pulmonary complications in ICU[J]. Journal of Modern Oncology, 2015, 0(21): 3081-3083. DOI: 10.3969/j.issn.1672-4992.2015.21.010 | |
| Authors: | Mao Yong Ying Youguo |
| Affiliation: | The Third People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine，the Intensive Care Unit，Shanghai 201999，China. |
| Abstract: | Objective:To investigate the postoperative pulmonary complications，and the risk factors，early intervention in ICU.Methods:February 2012 to February 2015，115 cases of esophageal cancer patient in ICU enrolled in the study,analyze the incidence of complications，and the risk factors.Results:The overall complication rate was 26.96%，of which 41.94% of pneumonia，pneumothorax 12.90%，9.68% pleural effusion，respiratory failure rate was 19.35%，the incidence of empyema 9.68%，the incidence of acute respiratory distress syndrome 6.45%，the incidence of pneumonia and other complications incidence difference was statistically significant (P<0.05).ICU postoperative pulmonary complications risk factors are age (≥65 years old)，blood loss (≥500ml)，smoking，underlying diseases，poor nutritional status，high tumor stage (Ⅲ stage)，postoperative epidural analgesia (P<0.05).But unrelated with anastomosis (P>0.05).Conclusion:ICU postoperative pulmonary complications are related with patients status surgical factors，greater. |
| Keywords: | ICU esophageal cancer postoperative pulmonary complications prevention and treatment |
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