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目的： 探讨老年食管癌患者切除术后肺部并发症的原因及防治。方法：回顾性分析１９９０ 年至１９９８ 年１００ 例的术切除的老年食管癌患者。结果：共发生肺部并发症４ 例，其中２ 例死亡。结论：我们的资料显示，术后肺部并发症的发生机制是术后咳嗽动力学的改变。术前肺部合并症，术后低氧血症，大量输液是术后肺部并发症的诱因。提出积极治疗术前肺部合并症，加强术后呼吸道管理，控制输液量及防止术后低氧血症是防治老年食管癌患者术后肺部并发症的重要措施。
Objective: To explore the causes and prevention of pulmonary complications after resection of elderly patients with esophageal cancer. METHODS: Retrospective analysis was performed on 100 patients with esophageal cancer undergoing resection from 1990 to 1998. Results: A total of 4 pulmonary complications occurred, including 2 deaths. Conclusion: Our data show that the mechanism of postoperative pulmonary complications is the change in postoperative cough kinetics. Preoperative pulmonary complications, postoperative hypoxemia, and massive infusions are the causes of postoperative pulmonary complications. It is an important measure to prevent postoperative pulmonary complications in elderly patients with esophageal cancer by actively treating preoperative pulmonary complications, strengthening postoperative respiratory management, controlling infusion volume, and preventing postoperative hypoxemia.