Management of Acute Respiratory Failure after Surgery for Esophageal Cancer
- VernacularTitle:食管癌术后急性呼吸衰竭的治疗
- Author:
Zhi-Yong ZHANG
;
Feng GE
;
Danqing LI
;
Zejian LI
;
Zhongxin ZHU
;
Zhijun TIAN
;
- Publication Type:Journal Article
- Keywords:
Acute respiratory failure;
Esophageal cancer
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
1995;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Acute respiratory failure (ARF) after operation for esophageal carcinoma is a serious challenge to medical management and usually accompanied by a high mortality rate. This paper present author's experience on the management of 10 such cases. It is emphasized that advanced age, long-history of smoking, COPD are predisposing factors and in-trathoracic surgery and its complication may trigger the ARF,which usually occurs within 48-72 hours after operation. Besides assist mechanical ventilation, thorough clearance of the secretion from the respiratory tract, control of pulmonary infection and early eradication of the intrathoracic complications are the key points of the successful treatment. Preoperative pulmonary functional studies with careful analysis in correlation with patients condition is mandatory especially in elderly patients. Prevention is more important and valuable than treatment for the patients with postoperative acute respiratory failure.
