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ID:34115602
大小:2.39 MB
页数:36页
时间:2019-03-02
《食管癌术后并发症危险因素分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、分类号——ICS学校代码10136学号200900134羲茁~茎一§萋蒙名民撤大学硕士学位论文食管癌术后并发症危险因素分析RiskFactorsofComplicationsafterOperationforCarcinomaoftheEsophagus申请人:刘灏学科专业:中西医结合临床研究方向:蒙西医结合外科学学位类别.:学术学位指导教师:张彬教授论文提交日期:二O一二年四月摘要目的探讨食管癌术后各种并发症发生的危险因素。方法抽取自2009年7月至2011年12月于我院行食管癌手术患者88例作为研究对象,收集病史中的下列资料:一般情况
2、、既往史、术前检查指标、术前用药、手术资料及围手术期化验、术后资料、术后并发症。回顾性分析食管癌术后各种并发症的发生情况及原因;单因素分析用x2检验,多因素分析采用Logistic回归。结果术后肺部并发症27.9%,吻合口瘘2.32%,心律失常11.6%,切口感染9.3%,并发症死亡率1.16%。结论食管癌术后并发症是由多种因素决定的,以吻合口瘘、心律失常、肺部并发症多见,且为主要死亡原因。严格选择病人、充分做好术前准备、严格规范手术操作;及时、正确的围手术期处理是降低手术并发症和死亡率的主要措施。关键词:食管癌手术;并发症;危险因素分析
3、RiskFactorsofComplicationsafterOperationforCarcinomaoftheEsophagusAbstractObjectiveTodiscusstheriskfactorsofcomplicationsafteroperationforcarcinomaoftheesophagus.MethodsBetweenJuly2009andDecember2011,theauthorhadanalyzed8caseswhounderwenttheoperationforcarcinomaoftheesoph
4、agus,andcollectedthematerialsinmedicalhistoryasfollow:generalsituation,medicalhistory,indexoftheexaminationandpharmacybeforeoperation,operationmaterials,perioperativeassayandcomplicationsafteroperation.Theauthorretrospectivelyanalyzedtheoccurringstationsandreasonsofcompli
5、cationsafteroperationforcarcinomaoftheesophagus.Riskfactorswereanalyzedbyunivariateandmultivariateanalysis.ResultsTheauthorgottheresultsasfollow:Intheseones,lungcomplicationsoccupied27.9%,2.32%forleakageinanastomosis,11.6%forcardiovascularillness.1.16%forempyema.Conclusio
6、nThemaincomplicationsofoperationforcarcinomaoftheesophagusareleakageinanastomosis,arrhythmias,lungcomplications.Andtheyarealsothemainreasonswhypatientsdied.Thebestmeasurestopreventthecomplicationsanddeatharetoselectthepatientsappropriately,topreparetheoperationswelltocure
7、otherillnessbeforetheoperation,toobservetheoperationrulesstrictlyandtomanagetheperioperativecaretimelyandcorrectly.Keywords:Theoperationfo,.carcinomaoftheesophagus;Complication;RiskfactorsDirectedby:prof.ZHANGBin(Ph.D)AppIicantforMasterdegree:LIUHao(Chinese(MongoIia)andWe
8、sternIntegrativeCIinicaIMedicine)(MongoIiaMedicaIColIage。InterMonggoIiaUniversityForNationaIitie
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