【摘要】 目的　探讨食管癌、贲门癌开胸术后心律失常的危险因素及防治措施。方法　 1999年 10月～2 0 0 0年 10月间对 10 6例食管癌、贲门癌开胸术后心律失常患者资料进行了回顾分析。结果　术后心律失常发生率为 7.87% (10 6 / 1347)发生于 1～ 3天者 94例 (88.7% ) ,4～ 7天者 11例 (10 .2 % )。经治疗 3天以内消失者 82例 (77.3% ) ,治疗无效死亡 5例 .结论　术前ECG异常 ,既往心律失常史 ,FEV1/FVC <70 % ,术式 ,胸水 >5 0 0ml等因素是食管癌、贲门癌开胸术后发生心律失常的重要相关危险因素更多还原

【Abstract】 Objective TO investigate the risky factors of arrhythmias after thoracic operation in patients with carcinoma of esophagus and gastric cardia.Methods From oct.1990 to oct.2000,106 postoperative cases suffering arrhythmias were analyzed restrospectively in 1347 cases with esophagus and gastric cardia cancer who received thoracic operarion.Results The occurrence rate of arrhythmias was 7.87%(106/1347)including 94 case took place in 1～3days(88.7%),11 cases in 4～7 days(10.2%)the sympotom of 82 arrhythmia cases was disappeared in 3 days after receiving proper treatments,5 cases died. Conclusion Factors such as pre\|operative abnomal ECG the past recoard of arrhythmia , FEV 1 /FVC<70%,the operative style ,the volume of pleural effusion>500ml,etc,were the important risky factors to arrhythmias.更多还原