Discussion of death cause within 24 hours after resection of Lung and esophageal cancer -An analysis of 8 Cases

Abstract cases of resection of lung cancer and esophagealeardiac carcinoma (lung cancer 326,esophago-cardiac cancer 1692) have been performed in our hospital from April, 1977 to July, 1992.Eight patients died within 24 hours after operation, death rate accounts for 0. 39 Percent(8/2018) totally. Seven patients died of resection of esophago-cardiac carcinoma, death rate makes up 0. 41 percent(7/1692). One patient died of operation resection of lung cancer, death rate amounts to 0. 3 Percent(1 /326).The results of preoperative examination for these eight patients were found to be within normal range.One patient was found to die of hypovolumerie shock because of bleeding of arterioles in anastomosis after autopsy. The death cause of other patients was proposed as either eirculatory or respiratory failure or comdined railure. Due to lack of autopsy the death causes we conjectured clinically were as following: (1) Patients' cardiac and Pulmonary Patent capacity is very Poor, so these Patients cann't tolerate the operation.(2) Lack of strict observation and optimal management after operation The paper is presented to sum up our experience and draw a lesson from our work.