摘要
目的观察高龄食管癌、贲门癌患者术后心律失常的发生情况，探讨其术后发生心律失常的危险因素及预防、处理措施。方法选取1997年1月至2006年12月间我科施行的高龄患者（年龄〉65岁）食管癌、贲门癌手术756例，其中197例（26．1％）术后发生了心律失常，应用logistic回归分析，并与其他未发生心律失常的患者作病例对照研究。结果术后发生心律失常的危险因素包括术前合并其他疾病、术式的选择、麻醉及手术时间、术后疼痛、缺氧、血容量不足、电解质和酸碱平衡紊乱，采用微创腔镜手术是预防术后心律失常的保护因素。结论针对高龄食管癌、贲门癌患者术后发生心律失常的危险因素，应积极防治，并辅以药物治疗，同时提倡微创手术，方可降低心律失常的发生率。
Objective To investigate risk factors, precaution and treatment of arrhythmia after operation in elderly patients of esophageal carcinoma and cardiac carcinoma. Methods From January 1997 to December 2006 between the purposes of the elderly （ 〉65 years old） esophagus and cardia were 756 cases,of which 197 cases （26.1% ） had postoperative arrhythmia, and others in patients for case-control study. Results Logistic analysis showed that arrhythmia was closely related to the factors including complicated diseases, choice of operative manier, the duration of anesthesia and operation, pain, hypoxia, hypovolemia and disturbance of acid-base and electrolure balance. On the contrary, endoscopic surgery acted as a protective role to refrain from postoperative arrhythmia. Conclusions For elderly patients of esophageal carcinoma and cardiac carcinoma against postoperative arrhythmia risk factors, a positive control, supplemented by drug therapy and coupled with the promotion of endoscopic surgery should be taken, which may reduce the incidence of arrhythmia.
出处
《中华航海医学与高气压医学杂志》
CAS
CSCD
2007年第5期303-305,共3页
Chinese Journal of Nautical Medicine and Hyperbaric Medicine
关键词
心律失常
危险因素
高龄患者
食管癌
贲门癌
Arrhythmia
Risk factors
Elderly patients
Esophageal carcinoma
Cardiac carcinoma
