| 70岁以上老年食管癌患者术后获得性肺炎的危险因素和预防 |
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| 引用本文： | 杨博,邱新光,王卫杰. 70岁以上老年食管癌患者术后获得性肺炎的危险因素和预防[J]. 国外医学(外科学分册), 2013, 0(10): 671-673 |
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| 作者姓名： | 杨博 邱新光 王卫杰 |
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| 作者单位： | [1]河南省安阳市肿瘤医院胸外科,安阳455000 [2]郑州大学第一附属医院普外科,郑州450000 |
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| 摘 要： | 目的 探讨70岁以上老年食管癌患者术后获得性肺炎的危险因素和预防措施.方法 总结分析2009-2012年208例高龄食管癌患者术后发生获得性肺炎的临床资料；Logistic多因素回归分析寻找相关危险因素.结果 术后获得性肺炎的发病率为25.9％,在获得性肺炎发生的可能相关因素Logistic多因素回归分析中,吸烟、低肺功能、术后非硬膜外镇痛、术中喉返神经的损伤、吻合口瘘是食管癌术后获得性肺炎的危险因素.结论 对于高龄患者应做好术前评估及围手术期的处理,减少食管癌术后并发症能有助于减少术后获得性肺炎的发生.
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| 关 键 词： | 食管肿瘤 老年人,70岁以上 获得性肺炎 危险因素 |
Risk factors and prevention of HAP after surgical excision of esophageal carcinoma in elderly patients |
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| YANG Bo,QIU Xin-guang WANG Wei-jie. Risk factors and prevention of HAP after surgical excision of esophageal carcinoma in elderly patients[J]. Foreign Medical Sciences(section of Surgery), 2013, 0(10): 671-673 |
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| Authors: | YANG Bo QIU Xin-guang WANG Wei-jie |
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| Affiliation: | 1.Department of Thoracic Surgery, Anyang Tumor Hospital, Anyang 455000, China;) |
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| Abstract: | Objective Explore the risk factors and prevention of HAP after surgical excision of Esophageal carcinoma in elderly Patients.Methods Two hundred and eight elderly patients with HAP after Surgical excision of Esophageal carcinoma from 2009 to 2012 were analyzed.Logistic regression analysis was used to find the related risk factors.Results The incidence of HAP was 25.9％.In several factors Logistic regression analysis,smoking,low lung function,postoperative non-epidural analgesia,injure of recurrent laryngeal nerve and fistula of anastomotic were the risk factors.Conclusions The preoperative evaluation,Intensive monitoring during the postoperative period and reducing the complication after operation can decrease the incidence of HAP. |
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| Keywords: | Esophageal Neoplasms Aged, 70 and over HAP Risk factors |
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