老年食管癌患者人工气胸下微创手术相关心血管不良事件影响因素研究

目的:探讨老年食管癌患者人工气胸下微创手术相关心血管不良事件的影响因素.方法:回顾性分析我院2010年01月至2017年06月收治行人工气胸下微创手术老年食管癌患者共273例临床资料,其中出现手术相关血管不良事件共21例设为A组,未出现手术相关心血管不良事件共252例设为B组,采用单因素和多因素法评价患者手术相关心血管...

Influencing factors investigation of cardiovascular adverse events related to minimally invasive surgery under artificial pneumothorax in elderly patients with esophageal cancer

Objective:To investigate the influencing factors investigation of cardiovascular adverse events related to minimally invasive surgery under artificial pneumothorax in elderly patients with esophageal cancer.Methods:Clinical data of 273 elderly patients with esophageal cancer by minimally invasive surgery under artificial pneumothorax were retrospectively chosen in the period from January 2010 to June 2017 and divided into 2 groups including 21 patients with cardiovascular adverse events related to surgery as A group and 252 patients without cardiovascular adverse events related to surgery as B group.Single-factor and multi-factor analysis were used to evaluate the influencing factors of cardiovascular adverse events related to surgery.Results:21 patients had cardiovascular adverse events related to surgery in 273 patients and the incidence was 7.69%.The proportion of ASA>III grade,clinical risk factors>3,hemodynamic fluctuation amplitude≥30%,airway pressure>30 cmH₂O and CVP>20 cmH₂O of A group were significantly lower than B group(P<0.05).The results of Logistic regression model showed that ASA>III grade,clinical risk factors>3,hemodynamic fluctuation amplitude≥30%of basic value and CVP>20 cmH₂O were all independent risk factors of cardiovascular adverse events related to surgery(P<0.05).Conclusion:The occurrence of cardiovascular adverse events in the elderly patients with esophageal cancer is closely related to ASA classification,clinical risk factors,hemodynamic fluctuation range and CVP level,which can be used as the satisfactory clinical early warning index.