食管癌、贲门癌术后呼吸功能不全高危因素分析

目的:探讨食管癌和贲门癌术后发生呼吸功能不全的高危因素。方法:采用回顾性病例对照研究,应用Logistic回归分析食管癌和贲门癌术后呼吸功能不全发生的高危因素。结果:经Logistic回归分析,术后发生呼吸功能不全的高危因素按相关强度依次为:术前合并COPD、手术时间长、高龄、手术日输液量多。结论:术前合并COPD(chronic obstructive pulmonary disease)、手术时间长、高龄是食管癌术后发生呼吸功能不全的高危因素;严格手术适应证,术者的丰富经验及娴熟技术,积极围手术期处理是防治术后呼吸功能不全的有效措施。

High risky factors of post-operative respiratory insufficiency in patients with cancer of esophagus or gastric cardia

Objective:To investigate the high risky factors of resulting from post-operative respiratory insufficiencies in patients with cancer of esophagus or gastric cardia. Methods: Retrospective controlled cases were studied in terms of the high risky factors from post-operative respiratory insufficiencies by binary logistic regression analysis with SSPS software. Results: To the degree of insufficiency, post-operative high risk factors ranked sequentially by pre-operative COPD complication, long duration of operation, old age and excessive infusion on the day of operation. Conclusion: The findings suggest that careful determination on the surgical indications, rich experience and skillful performance from the surgeons and effective prioperative management can prevent post-operative respiratory insufficiency.