食管贲门癌术后心血管并发症防治方案的研究

目的 搪塞食管贲门癌术后血心管并发症综合防治方案。方法 研究分两个阶段；第阶段对前２０年（１９７３￣１９９２年）１２０８例管贲门癌临床资料回顾性分析。第二阶段，对近５年３１８老年食管贲门癌病人进行前瞻性临床研究，随机分为Ａ组，综合方案，即术前静滴心脏激化液（葡萄糖、胰岛素、氯化钾、ＧＩＫ），避免术中低血压及术后联合应用肝素、氨茶硷等；Ｂ组，作为对照；结果 第一阶段回顾性分析表明：术后心血管并发症的

Study on regime of prevention and treatment for postoperative cardiovascular complications from esophageal or cardiac cancer surgery

Objective To probe the prevention and treatment protocol for cardiovascular complications in esophagogastric cancer surgery. Methods The study was divided into two stages: firstly, 1 208 cases of esophagogastric cancer treated with surgery from 1973 to 1992 were retrospectively reviewed; secondly 318 cases of senile esophagogastric cancer between 1993 and 1997 was prospectively studied. The patients were randomly divided into two groups:group A and group B.In group A( n =114),a comprehensive prevention and treatment scheme was applied including intravenious administration of GIK before operation, avoiding hypotension during operation and a combined use of Heparin and Aminophylline after operation.Group B( n =204) was used as control. Results Retrospective review found that age abnormal cardio pulmonary function before operation hypotension during surgery and anastomotic style superoaortic artery were main risk factors and the direct etiology was anoxia.In addition, 318 cases of postoperative cardiovascular complications in group A were 7 0% and in group B 21 6%( P <0 01),curative rate in group A was 99 2% and in group B 97 1% ( P < 0 01). Conclusion Application of comprehensive prevention and treatment scheme can help reduce the risk of cardiovascular complications in esophagogastric cancer surgery and improve the outcome of surgical treatment.