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Postoperative chest tumor clinical analysis of 136 cases of arrhythmia

Cancer patients after the ECG, which guillotine 136 arrhythmia. Rate was 232%. Rate group of patients is to cause arrhythmia and perioperative treatment to prevent buildings following a report on the withdrawal method ll data and general information on this group of 136 patients, male l13 patients, 23 female; aged 22 to 73 years, mean age 475 years old. Smoking rate of 76%. Wood, 24 abnormal electrocardiogram prior cases, including coronary insufficiency in 9 cases,[link widoczny dla zalogowanych], 5 cases of atrioventricular block, sinus arrhythmia 3 down, left too much fat in 2 cases, 2 cases of premature ventricular contractions, limb lead Low Voltage 2 cases,[link widoczny dla zalogowanych], pre-excitation syndrome l cases. Preoperative diagnosis of esophageal cancer in 93 cases, 38 cases of lung cancer, mediastinal tumor in 2 cases, 2 cases of thymoma, 1 case of pleural mesothelioma. HP 78 352 12 method after using a C-type multi-function monitor continuous monitoring of life 72h, detailed record of arrhythmia occurred at a time, type, treatment and results. ECG abnormalities on the wood before the same type of arrhythmia after the operation, do not do statistics. 2 Results in 136 patients. Tachycardia occurred after 97 cases of rustic, premature ventricular contractions 9 fall, 8 cases of supraventricular tachycardia, atrial premature beats in 8 cases, 6 AV blocking thin side. Housing zygomatic 3 sides, 2 sides of ventricular tachycardia. Borderline cases of premature l, variability pre-excitation syndrome in 1 case, 1 case of ventricular fibrillation. After 24h all significantly higher than the incidence of arrhythmia after 48h, 72h. The timely and correct treatment,[link widoczny dla zalogowanych], t2 Wei observed 586 cases of breast cancer before surgery swelling of abnormal and normal ECG, after t2, arrhythmia occurrence rate was 24.4% (24/98) and 22.9% (112/448), two groups no significant difference between (P> 0.05). 3 discussion with the continuous improvement of anesthetic techniques and equipment such as ECG and extensive application of continuous improvement, the chest continue to expand indications for surgery of cancer patients too, while the clinical arrhythmia has attracted great attention. We understand Liu. Systematic Zhumadian Biyang County Hospital of Surgery-l2-l do Star perioperative prevention of postoperative arrhythmia and surgical success. 3. I preoperative breast cancer patients younger than the general too, the gradual decline of physiological functions, and many associated with different degrees of heart, liver, kidney, lung disease, postoperative arrhythmia, and significantly increased the probability of other complications, adequate Preoperative preparation is particularly important. For preoperative coronary insufficiency, cardiac arrhythmias and other epidemic patients, who after the adjustment of the wrist type of medication, well plus ATP, coenzyme AFDp other cardioprotective drugs in patients with pulmonary sputum, application of effective antibiotics, aerosol inhalation treatment. As far as possible eliminate the infections. Heart and lung function exercise, instruct patient to do deep breathing exercise, if necessary, supplemented oxygen therapy to improve blood oxygen saturation. Weaker for the physical, preoperative subclavian vein of high nutritional therapy, to correct anemia and hypoproteinemia in order to enhance the body resistance of patients and surgical tolerance will help to reduce the incidence of postoperative arrhythmias. 3.2 Intraoperative anesthetic process, causing the patient to minimize or avoid unnecessary stimulation, to avoid see intraoperative hypoventilation, hypoxemia, hypotension, careful monitoring of the observed indicators = surgical operation should be gentle, best crabs to reduce heart and lung tissue of oppression, pulling; particularly esophageal and cardiac patients, surgery will string together into a stomach tube, fixed on the esophageal bed, to the city after gastric dilatation less pressure on the heart and lungs,[link widoczny dla zalogowanych], sometimes surgery vagotomized type required,[link widoczny dla zalogowanych], resulting in increased sympathetic tone is directly related with postoperative arrhythmia. Shortening the operating time, the end of surgery to the total net absorption of respiratory secretions of patients to be conscious, muscle tension recovery after pulling International tracheal intubation. 33 patients after conventional continuous low flow oxygen to give 48h, analgesics necessary to prevent the occurrence of arrhythmia a good effect. Strict record of 24h access water, adequate and effective application of antibiotics to control infection cable. Application of cardioprotective drugs, the patient bed as soon as possible activities to encourage patients to cough, sputum, inhalation therapy when necessary. Maintain airway patency, to prevent pulmonary complications. Sinus tachycardia after propafenone given good results. Atrial premature beats to try a mild sedative or 0 blocker treatment; premature ventricular contractions better choice for intravenous lidocaine.