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《CHINESE JOURNAL OF ONCOLOGY》 1994-06
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POSTOPERATIVE ARRHYTHMIA AFTER RESECTION OF ESOPHAGEAL OR CARDIAC CARCINOMA:WITH ANALYSIS OF 108 CASES

Chen Long-qi,Liu Jing-bo,Zhang Ming-dao,et al The 4th Hospital of Hebei Medical College,Shijiazhuang 050011  
Abstract Between Sept.1991 and Jun.1992,a total of 453 cases with carcinomas of the esophagus orgastric cardia underwent surgical resection of cancer.In all patients,ECG was continuously moni-tored for at least 3 days after operation.There were 108 cases of postoperative arrhythmias,withan incidence of 23.8%,but 32.9% in patients with abnormal preoperative ECG,higher than thatwith normal preoperative ECG(21.9%)(P0.05).The postoperative arrhythmia appeared morefrequently in the gastresophageal anastomosis above the aortic arch(35.0%)than in that below it(16.3%)(P0.01).In 87.0% of arrhythmias appeared within 24 hours after the operation and 72.2%was sinus arrhythmia.The fatal arrhythmia was rarely seen.The common causes of postoperativearrhythmia were operative trauma and stress,respiratory insufficiency,heart failure,hypovolemia andhigh fever.After treatment in time,arrhythmias disappeared in 4 days.The emphasis is to findand get rid of the causes at first,then is the treatment of arrhythmia.
【CateGory Index】: R735.1
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