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目的探讨贲门癌患者术后发生呼吸功能衰竭的高危因素。方法 30例接受手术治疗且发生术后呼吸衰竭的患者设为实验组,另抽取同期接受手术治疗未发生术后呼吸衰竭的患者30例为对照组,比较两组患者的有关指标水平。结果实验组和对照组的相关指标水平比较结果显示,实验组的肺功能弱于对照组,术中补液量及单腔插管患者数量均多于对照组,三项指标的组间比较差异均具有统计学意义(P<0.05);且两组患者的手术时间比较差异无统计学意义(P>0.05)。结论术前肺功能损伤、术中补液量过多及单管气管插管术式是贲门癌患者术后发生呼吸功能衰竭的高危因素,医生应采取双腔气管插管方式进行手术,严格控制术中补液量,尽可能地降低贲门癌患者术后发生呼吸功能衰竭的可能性。
Objective To investigate the risk factors of postoperative respiratory failure in patients with cardiac cancer. Methods Thirty patients undergoing surgery and postoperative respiratory failure were enrolled as experimental group. Thirty patients who underwent surgical treatment without respiratory failure during the same period were selected as the control group, and the relative levels of the two groups were compared. Results Compared with the control group, the lung function of the experimental group was weaker than that of the control group. The volume of fluid infusion and the number of single lumen intubation in the experimental group and the control group were more than those in the control group. The differences among the three groups were statistically significant (P <0.05). There was no significant difference in operative time between the two groups (P> 0.05). Conclusions Preoperative pulmonary function injury, intraoperative fluid rehydration and single tube tracheal intubation are risk factors for postoperative respiratory failure in cardia cancer patients. Doctors should adopt double-lumen endotracheal intubation for surgery and strict control In the fluid volume, as much as possible to reduce the possibility of postoperative respiratory failure in patients with cardiac cancer.