Zubarev P N, Bisenkov L N, Kobak M E, Simenchenko G I
Grud Serdechnososudistaia Khir. 1991 Sep(9):56-9.
Pleuropulmonary complications in 50 patients who underwent operation for esophageal carcinoma with simultaneous esophagogastroplasty were most frequent (59%) and serious and accounted for up to 60% of all causes of early postoperative mortality. In operations through a transthoracic approach these complications occur more frequently (75%) than in operations without thoracotomy (48%). The possible causes and measures for the prevention of pleuropulmonary complications in the pre-, intra-, and postoperative periods are discussed. Particular attention is focused on the acute respiratory insufficiency syndrome during resection of the esophagus without thoracotomy. It is concluded that this serious pathological condition can be avoided by a complex of preventive and therapeutic measures carried out in all stages of treatment.
50例行食管癌手术并同期行食管胃成形术患者的胸膜肺部并发症最为常见（59%）且严重，占术后早期死亡所有原因的60%。经胸入路手术中这些并发症的发生率（75%）高于非开胸手术（48%）。本文讨论了术前、术中和术后预防胸膜肺部并发症的可能原因及措施。特别关注非开胸食管切除术中的急性呼吸功能不全综合征。结论是，通过在治疗各阶段实施一系列预防和治疗措施，可避免这种严重的病理状况。
