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为临床防治食管贲门癌术后心血管并发症提供科学依据。方法回顾分析食管贲门癌术后28例心血管并发症。结果该并发症老年组较非老年组明显增加(P<0.01);弓上食管—胃吻合者明显高于其他术式(P<0.01);术前ECG异常组显著高于ECG正常组。且该并发症的75%(21/28)发生于术后3日内。结论术后早期积极改善这类病人血液流变性,加强供氧及生命指征监测,可减少并发症的危险性
Provide scientific basis for clinical prevention of cardiovascular complications after esophageal and cardiac cancer surgery. Methods Retrospective analysis of 28 cases of esophageal cardiac cancer after cardiovascular complications. Results The complications in the elderly group were significantly higher than those in the non-elderly group (P<0.01). The esophageal-gastric anastomosis on the arch was significantly higher than other surgical methods (P<0.01). The preoperative ECG abnormal group was significantly higher than the ECG. normal group. And 75% of the complications (21/28) occurred within 3 days after surgery. Conclusions Actively improve the blood rheology of these patients in the early postoperative period, strengthen the monitoring of oxygen supply and vital signs, and reduce the risk of complications.