Analysis Of Related Risk Factors Of Acute Respiratory Distress Syndrome In 28 Patients After Esophagectomy

Objective: To explore the related risk factors for postoperative acute respiratory distress syndrome(ARDS)in patients undergoing esophagectomy.Methods: Clinical data of 28 patients undergoing esophagectomy in Fourth Hospital of Hebei Medical University from Jan.2015 to Dec.2015 were retrospectively,and 56 patients without postoperative ARDS were selected randomly according to 1: 2 with random number table during the same period as control group.Gender,Henderson scoring,past medical history,surgery method,operation time,identical parts,tumor location,other postoperative complications:lung infection,anastomotic leakage were compared between the two groups by ?2 test.Multivariate Logistic regression was performed to analyze the independent risk factors of ARDS after esophagectomy.Results:1.The basic condition of the selected patientsA total of 28 patients with ARDS who had undergone esophageal cancer surgery in the ICU of the Fourth Hospital of Hebei Medical University in 2015.There were 4 cases of severe ARDS,17 patients with moderate ARDS,there and 7 cases of mild ARDS.Six patients died after being actively rescued.The mortality rate was 21.4%.Among them,the mortality rate of mild ARDS is 0,the mortality rate of moderate ARDS is 23.5%,and the mortality rate of severe ARDS is 50%.2.Single factor analysis of the related risk factors with ARDS after esophagectomyThe ?2 test showed that ARDS group had Henderson scoring?4,operation time ?4 hours,other postoperative complictions: lung infection,anastomotic leakage,these differences were statistically significant compared with the control group(P<0.05).3.Multivariate analysis of the related risk factors with ARDS after esophagectomyMultivariate Logistic regression analysis showed that operation time?4 hours and Henderson scoring?4 points,compared with other factors,the difference was statistically significant.Conclusions:1.The high Henderson scoring and long operation time are the independent risk factors.2.Strict control of surgical indications and comprehensive assessment and improvement of preoperative pulmonary function,grading Herdenson score preoperative,quitting smoking before surgery,improving surgical techniques,shortening operation time,postoperative strict observation to reduce the incidence of other complications were the key factors in reducing the postoperative ARDS of patients undergoing esophagectomy.