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目的分析食管癌和肺癌术后并发房颤的发生率、高危因素、治疗方法及预后,并加以比较。方法将2004年12月~2006年5月45例食管癌和肺癌术后并发房颤的患者分为食管癌组(27例)和肺癌组(18例),并加以总结。结果食管癌组手术时间及术后2d尿中儿茶酚胺的含量高于肺癌组(P<0.001)。肺癌组术后并发低氧血症的发生率高于食管癌组(P<0.05)。术前合并心脏病病史及慢性阻塞性肺疾病病史,两组比较差异无统计学意义(P>0.05)。45例患者均治愈。结论食管癌较肺癌术后易并发房颤。术后并发房颤的食管癌患者应及早进行药物治疗,肺癌患者首先应去除病因治疗。
Objective To analyze the incidence, risk factors, treatment methods and prognosis of atrial fibrillation after esophageal and lung cancer surgery and compare them. Methods From December 2004 to May 2006, 45 patients with esophageal and lung cancer complicated with AF were divided into esophageal cancer group (27 cases) and lung cancer group (18 cases). Results The operative time and urinary catecholamine content in esophageal cancer group were higher than those in lung cancer group (P<0.001). The incidence of postoperative hypoxemia in the lung cancer group was higher than that in the esophageal cancer group (P<0.05). Preoperative combined history of heart disease and history of chronic obstructive pulmonary disease did not differ between the two groups (P>0.05). All 45 patients were cured. Conclusion Esophageal cancer is more complicated than atrial fibrillation after lung cancer. Patients with esophageal cancer who have postoperative atrial fibrillation should be treated with drugs as soon as possible. Patients with lung cancer should first be treated for etiology.