食管癌术后肺部感染的高危因素分析及预防.docVIP

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牛肺部感染的危险因素，为临床预防 食管癌术后肺部感染发牛，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牛肺部感染将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牛率的差异。结果:肺部感染组肺功能中重度障碍、 吸烟（ge;400支/年）、高龄（ge;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ge;1000ml）＞手术时间ge;5h的比率均高 于对照组（Plt;0.05）o结论：肺功能中重度障碍、吸烟（ge;400支/年）、高龄 （ge;60岁）、喉返神经损伤、围手术期失血量（ge;1000ml）是食管癌术后发 牛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 的发牛。 【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 Peoples Hospital, Sichuan Shehong, 629200, [Abstract] Objective To identify the risk factors for the occurrence of lung infecti ons after esophagectomy, so as to provide ref ere nee to preve nt the pn eum onia after esophageal carci noma and improve the treatment effect. Methods 135 patie nts 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 pulm on ary function ,age,smoki ng history and intraoperative blood loss were compared between the 2 groups. Results The in cide nces of moderate or severe pulm on ary dysf unction ,smoki ng history(ge;400 cigarettes per year),old age(ge;60 years),laryngeal recurrent nerve injury,perioperative blood loss(g e;1000ml),operati on time Ion ger tha n 5 hours of the lung infections group were signi?cantly higher than those of the control group (Plt;0.05). Conclusion Moderate or severe pulm on ary dysf unction ,smoki ng history (ge;400 cigarettes per year),old age(ge; 60 years )」aryn geal recurre nt n erve in jury and perioperative blood loss(ge;1000 ml)are main risk factors of pneumonia after esophagectomy. When patients have the factors above, the nursing and pre