 Wysłany: Nie 2:46, 13 Mar 2011 Temat postu: Of cancer patients after thoracotomy arrhythmia f |
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| Of cancer patients after thoracotomy arrhythmia factors
(See Table 1) (c) whether the previous history of heart disease on the occurrence of heart disease after thoracotomy Chinese Journal of Cancer Volume 8 Statistics found that cancer patients after thoracotomy heart disease and previous history of heart disease are closely related ( P O.05), lung, esophageal surgery 7O cases, incidence of 15 cases, accounting for 21.4, stomach, 33 cases of cardiac surgery, incidence of 3 cases, 9.1. General discussion of poor cancer patients, and thoracic surgery involving the vital organs of life, surgery and anesthesia on the physical effects were larger. Together after many other factors, the incidence of heart disease patients compared with abdominal and lower extremity surgery is high. The original history of heart disease patients, the patients at greater risk of heart disease. 【Mangano that transfer, temperature changes, changes in respiratory function, blood coagulation mechanism is more important changes in the stress response and stress response can increase self-regulation of myocardial cells, leading to arrhythmia addition, anesthesia, surgery, pain, visceral traction and so also can cause coronary artery spasm, resulting in a transient and recurrent myocardial ischemia], and then lead to arrhythmia. oxygen, carbon dioxide retention is an important cause of arrhythmias caused by mouth]. This group of patients with persistent smoking after oxygen, oxygen saturation monitoring of the line, oxygen saturation, were more than 95 and therefore excluded from this factor. surgical operation, the residual effect of anesthetics may affect hemodynamics, increased blood pressure, increases cardiac load and myocardial oxygen consumption increased , Myocardial ischemia and increased incidence of arrhythmia chest tube placed in different locations can directly affect the heart and lungs of normal physiological activity, a direct stimulating effect on the heart, resulting in arrhythmia. perioperative arrhythmia occurred, while the majority of patients often without symptoms continuous EKG monitoring is essential. perioperative arrhythmia occurs usually not serious, but damage to cardiac function, further affecting the balance between myocardial oxygen supply or into a potentially life-threatening arrhythmias are quite serious. Therefore, time observation, identification of the cause to correct the causes of arrhythmia and treatment of arrhythmia is crucial. Our results show that there are many factors that the tumor after thoracotomy can lead to heart disease, for cancer patients after thoracotomy should enhance care, choice correct ECG leads (usually displayed a high P wave lead Ⅱ), close observation; timely analgesia to reduce the stress response; taken to avoid patient severe coughing, defecation, in order to reduce the impact of excessive activity on arrhythmia; timely removal of chest tube, drainage tube to lift the stimulus. often as long as the removal of the cause of arrhythmia can be corrected, if not remove the cause, even after repeated episodes of drug treatment is still easy to remove the invalid and cause after cause of hemodynamic change, requires the use of drugs and other treatment, cancer patients make a smooth recovery 相关的主题文章： Domestic docetaxel and cisplatin treatment of advanced non-small cell lung cancer _4523 Malignant pleural solitary fibrous tumor with brain metastasis in 1 case and review of literature _1540 Induced cirrhosis of the liver metastasis of colo |
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