老年食管癌术后肺部并发症的原因及防治

目的：探讨老年食管癌患者切除术后肺部并发症的原因及防治。方法：回顾性的９９０年至１９９８年１００例的椁切除的老年食管癌患者。结果：共发生肺部并发症４例，其中２例死亡。结论：我们的资料显示，术后肺部并发症的发生机制是术后咳嗽动力学的改变。术前肺部合并症，术后低氧血症，大量输液是术后肺部并发症的诱因。提出积极治疗术前肺部合并症，加强术后呼吸道管理，控制输液量及防止术后低氧血症是防治老年食管中层得术后肺

THE CAUSE,PREVENTION AND TREATMENT OF THE POST OPERARIVE LUNG COMPLICATION IN AGED PATIENTS WITH ESOPHGEAL CARCINOMA

Objective:To determine the cause,prevention and treatment of the postoperative lung complications in aged patients with esophageal carcinoma.Method:From the year 1990 to 1998,100 aged patients with esophageal carcinoma were analyzed.Results:The lung complications occurred in 4 cases and 2 of them died.Conclusion:Our data showed that the underlying pulmonary diseases,postoperative hypoxemia and overdose intravenous hydration were the major predisposing factors of these complications.The pathosenesis of the complications involved changes in cough dynamics.we thought the key measures to improve operative effectiveness and avoid respiratory complication in aged patients should include active treatment of underlying lung diseases, intensive postoperative respiratory administration,limitation of intravenous hydration and prevention of hypoxemia.