【摘要】 目的:探讨食管癌患者术后肺部感染的原因与预防。方法:对2001￣2005年间57例食管癌病例进行回顾性分析。结果:其中1例患者因误吸导致死亡,1例出现吻合口瘘,3例因出现成人呼吸窘迫综合征(ARDS)行气管切开、呼吸机辅助通气,52例出现不同程度的肺部感染。结论:食管癌患者术后并发肺部感染的因素较多,其中喉返神经损伤是引起肺部感染的主要因素,预防喉返神经损伤可有效地减少肺部感染并发症的发生。更多还原

【Abstract】 Objective:To explore the cause and precaution of postoperative pulmonary infection with esophageal carcinoma.Methods:57 patients of esophageal carcinoma surgery in our department from 2001 to 2005 were analyzed retrospectively.Results:One patient died of aspiration, one died of anastomotic leakage. The tracheotomy and mechanical ventilation were applied because of adult respiratory distress syndrome(ARDS) in 3 patients. There were 52 patients postoperative pulmonary infection at different degree.Conclusion:The lesion of recurrent nerve is one of the most important factors which can induce postoperative pulmonary infection on patients with esophageal carcinoma. Protection of recurrent nerve may decrease postoperative postoperative pulmonary infection effectively.更多还原