食管癌术后急性呼吸窘迫综合征的临床分析

目的：探讨食管癌术后急性呼吸窘迫综合征（ARDS）的治疗和预防，方法：对8例食管癌术后发生ARDS的病人进行回顾，分析其术前肺功能，血气，PaO2/FiO2与治疗及预防的关系。结果：本组患者ARDS占同期行食管癌根治术的0．8％，8例的均予以机械通气，平均8．2d，全组死亡4例，结论：运用整体的观念治疗ARDS，正确使用呼吸治疗是降低本病死亡率的有效措施，同时术前完善肺功能检查，正规手术操作，术后加强呼吸道管理可有效预防本病的发生。

The analysis of ARDS after esophagectomy

Objective To investigate treatment and prevention of acute respiratory distress syndrome(ARDS) after esophagectomy. Methods Eight patients were studied retrospectively, and their pulmonary function, ABG, PaO2/FiO2 were analyzed to show the relationship of treatment and prevention this disease. Results In this group, ARDS accounted for 0.8% in those patients who accepted the esophagectomy synchronization, all the eight patients required mech anical ventilation (mean=8.2days), 4 patients was died.Conclusions Treating the body as a whole, correct application of mechanical ventilation are effecttive methods to decrease mortality of ARDS. Meanwhile, Accomplishing the pulmonary function test before operation, standardizing the operative procedure, reinforcing the management of respiratory tract after operation can provent the occurrenc of ARDS effectually.