论文部分内容阅读
胸部肿瘤患者同时伴某些心胜严重疾患，以往常因心脏问题而不能耐受剖胸手术而失去手术机会。本文报告贲门癌、食管疾各一例，患者同时伴病态窦房结综合征。先期安置心脏起搏器，调节检测保证良好起博功能，做好围术期管理，再施剖胸手术获得成功。作者认为安置心脏起博器，再施开胸手术切除胸部肿瘤这一方法对某些有严重心脏疾患而在常规条件下不能耐受胸外科治疗的患者是一种新的尝试。其方法扩大了胸外科手术适应症，提高了胸部肿瘤的治愈率。
Patients with thoracic tumors are also accompanied by certain heart-severe serious diseases. In the past, because of heart problems, they were unable to tolerate the procedures of thoracotomy and lost their surgical opportunities. This article reports one case of cardiac cancer, esophageal disease, and patients with sick sinus syndrome. The pacemaker was placed in advance, and the adjustment tests ensured a good pacing function. The perioperative management was performed well and the thoracotomy was performed again. The authors believe that the placement of cardiac pacemakers and resection of thoracic tumors by thoracotomy is a new attempt for patients with severe heart disease who cannot tolerate thoracic surgery under conventional conditions. The method expands the indications for thoracic surgery and improves the cure rate of thoracic tumors.