颈段、胸上段食管癌术后并发肺部感染分析

目的探讨颈段、胸上段食管癌患者术后肺部感染的原因与预防。方法对2001~2005年间57例颈段和胸上段食管癌病例进行回顾性分析。结果其中1例患者因误吸导致死亡,1例出现吻合口瘘,3例因出现成人呼吸窘迫综合征(ARDS)行气管切开呼吸机辅助通气,16例不同程度出现肺部感染。结论颈段和胸上段食管癌患者术后并发肺部感染的因素较多,其中喉返神经损伤是引起肺部感染的主要因素,预防喉返神经损伤可有效地减少肺部感染并发症的发生。

Postoperative Pneumonia due to Cervical Part and Upper Thoracic Part Esophageal Carcinoma Surgery: Retrospective Analysis

OBJECTIVE To investigate the causes and preventive measures of postoperative pneumonia due to cervical part and upper thoracic part esophageal carcinoma surgery. METHODS Fifty seven cases with cervical part or upper thoracic part esophageal carcinoma from 2001 to 2005 were studied restropectively. RESULTS One patient died of aspiration pneumonia,one died of anastomotic leakage,and three died of adult respiratory distress syndrome(ARDS).The tracheotomy and mechanical ventilation were applied.Pneumonia was confirmed among sixteen patients at different degree. CONCLUSIONS Many causes contribute to postoperative pneumonia on patients with cervical part or thoracic part esophageal carcinoma,and the lesion of recurrent nerve is an important reason.Protection of recurrent nerve may decrease postoperative pneumonia.