文档介绍：食管癌术后肺部感染的高危因素分析及预防
谭勇覃飞张林杨洪雷
(四川省射洪县人民医院四川射洪 629200)
【摘要】目的:探讨食管癌患者术后发生肺部感染的危险因素,为临床预防食管癌术后肺部感染发生,提高患者治疗效果提供依据。方法:选择我院2013年至2015 年收治的135例食管癌患者,按食管癌术后是否发生肺部感染将135例食管癌患者分为肺部感染组与对照组,比较两组患者的术前肺功能、年龄、吸烟量及手术出血量肺部感染发生率的差异。结果:肺部感染组肺功能中重度障碍、吸烟(≥400支/年)、高龄(≥60岁)、喉返神经损伤、围手术期失血量(术中出血+术后24h胸腔、腹腔引流量≥1000ml)、手术时间≥5h的比率均高于对照组(P<)。结论:肺功能中重度障碍、吸烟(≥400支/年)、高龄(≥60岁)、喉返神经损伤、围手术期失血量(≥1000ml)是食管癌术后发生肺部感染的高危因素,当患者存在上述情况时需要加强术后护理预防肺部感染的发生。
【关键词】食管癌;肺部感染;高危因素
【中图分类号】R619 【文献标识码】A 【文章编号】1007-8231(2016)09-0031-03
Risk Factor Analysis and Prevention of lung infections of Patients after Esophagectomy
Tan yong, Qin fei, Zhang lin,Yang Hong Lei. Shehong People's Hospital, Sichuan Shehong, 629200,
【Abstract】Objective To identify the risk factors for the occurrence of lung infections after esophagectomy, so as to provide reference to prevent the pneumonia after esophageal carcinoma and improve the treatment effect. Methods 135 patients with esophageal carcinoma who were accepted by our hospital from 2013 to 2015
were selected as the research subject. According to whether they had lung infections after esophagectomy,all the 135 patients were divided into lung infections group and control group. Preoperative pulmonary function,age,smoking history and intraoperative blood loss pared between the 2 groups. Results The incidences of moderate or severe pulmonary dysfuncti