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为有效地预防及治疗食管癌术后急性呼吸衰竭 ,分析 6 8例食管癌术后急性呼吸衰竭的病因及治疗特点。强调高龄、过度肥胖、长期吸烟、慢性呼吸系统疾病、术前心肺功能差以及术后有胸内并发症者容易发生。多好发于术后 48～72h ,以Ⅱ型呼吸衰竭为多见。术中做好预防至关重要 ,术前正确判断肺功能测试结果 ,充分术前准备 ,手术及麻醉方式的改进。及时辅助通气 ,彻底清除呼吸道内分泌物 ,早期发现并处理并发症 ,积极控制感染
In order to effectively prevent and treat postoperative acute respiratory failure of esophageal cancer, the etiology and treatment characteristics of 68 postoperative esophageal cancer patients with acute respiratory failure were analyzed. Emphasis on the elderly, obesity, long-term smoking, chronic respiratory diseases, poor preoperative cardiopulmonary function and postoperative intrathoracic complications are prone to occur. More hair in the postoperative 48 ~ 72h, Ⅱ type of respiratory failure is more common. Intraoperative prevention is essential to properly determine the preoperative pulmonary function test results, adequate preoperative preparation, surgery and anesthesia improvements. Prompt ventilation, the complete removal of respiratory secretions, early detection and treatment of complications, and actively control the infection