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目的探讨老年食管癌患者术后肺部并发症的相关因素。方法回顾性分析本院收治的83例老年食管癌患者的临床资料,以术后是否发生肺部并发症分为观察组与对照组。比较2组患者一般临床资料的差异,并探讨患者术后肺部并发症的相关因素。结果本研究术后肺部并发生率为20.45%(17/83),死亡率为1.21%(1/83);观察组患者在吸烟指数≥400、术前合并低蛋白血症、术前FEV1占预计值%<50%、术中出血量≥800 mL、术中输液量≥3 000 mL、手术时间>3 h、吻合平面在主动脉弓上等方面的比例均明显高于对照组,差异有统计学意义(P<0.05)。结论影响老年食管癌患者术后发生肺部并发症的原因是多方面的,必须针对其影响因素加强围术期处理,降低术后肺部并发症的发生率。
Objective To investigate the related factors of postoperative pulmonary complications in elder patients with esophageal cancer. Methods The clinical data of 83 elderly esophageal cancer patients admitted to our hospital were retrospectively analyzed. The patients were divided into observation group and control group according to whether or not postoperative pulmonary complications occurred. The differences in general clinical data between the two groups of patients were compared, and related factors for postoperative pulmonary complications were explored. Results The incidence rate of postoperative pulmonary disease was 20.45% (17/83) and the mortality rate was 1.21% (1/83). The observation group had a smoking index ≥400, preoperative hypoproteinemia, and preoperative FEV1. The percentages of predicted value <50%, intraoperative blood loss ≥ 800 mL, intraoperative fluid volume ≥ 3 000 mL, operation time> 3 h, and anastomosis plane on the aortic arch were significantly higher than those of the control group. Significance (P<0.05). [Conclusion] The causes of postoperative pulmonary complications in elderly patients with esophageal cancer are various, and the perioperative management must be strengthened for the influencing factors to reduce the incidence of postoperative pulmonary complications.