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目的：预防和治疗食管癌术后肺水肿。方法：分析我院胸外科１１ａ间６９１例食管癌手术后的３例肺水肿患者的临床表现及治疗经过。结果：术后超量输液，累积入量过多及同时行肺切除是食管癌术后肺水肿的主要原因。３例均抢救成功，１例术后４ａ健在。结论：食管癌切除术后应注意水电解质平衡，避免连续超量输液。对突然发生的血压、脉搏增高及呼吸困难，要警惕肺水肿。中心静脉压测定在鉴别诊断上有重要意义。治疗要果断正确。
Objective: To prevent and treat pulmonary edema after esophageal cancer. Methods: The clinical manifestations and treatment of 3 cases of pulmonary edema after operative operation of 691 cases of esophageal cancer were retrospectively analyzed. RESULTS: Postoperative hyperinfusion, excessive cumulative infusion and simultaneous lung resection were the main causes of pulmonary edema after esophageal cancer surgery. All 3 patients were successfully rescued, and 1 patient was alive 4a after operation. Conclusion: After the resection of esophageal cancer, attention should be paid to the balance of water and electrolytes to avoid continuous over-infusion. For sudden onset of blood pressure, increased pulse, and difficulty breathing, be alert to pulmonary edema. Central venous pressure measurement is of great significance in differential diagnosis. Treatment must be decisive and correct.