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目的 :报告一组高龄食管癌术后并发肺栓塞的诊治体会。方法 :回顾性分析我院近 6年来收治的 18例高龄食管癌术后并发肺栓塞的诊断和治疗经过 ,分析其发病因素、诊断、治疗及其预防。结果 :18例肺栓塞病人多数发病于术后第 3～ 4天 ,13例治愈 ,5例死亡 ,治愈率 72 .2 % ,死亡率 2 7.8%。结论 :高龄食管癌术后并发肺栓塞 ,症状轻重不一 ,易漏诊、误诊 ,死亡率高。早发现 ,早诊断 ,早治疗 ,可提高生存率
Objective: To report the diagnosis and treatment of a group of elderly patients with esophageal carcinoma complicated with pulmonary embolism. Methods: The diagnosis and treatment of 18 cases of advanced esophageal carcinoma complicated with pulmonary embolism admitted in our hospital in the recent 6 years were retrospectively analyzed. The etiological factors, diagnosis, treatment and prevention were analyzed. Results: Most of the 18 cases of pulmonary embolism occurred on the 3rd to 4th days after operation. Among them, 13 cases were cured and 5 cases died. The cure rate was 72.2% and the mortality rate was 7.88%. Conclusion: The elderly patients with esophagectomy complicated by pulmonary embolism, the severity of symptoms vary, easy to missed diagnosis, misdiagnosis, high mortality. Early detection, early diagnosis, early treatment, can improve the survival rate