中度肺通气功能减退肺癌患者开胸手术耐受性  

Open-chest operation endurance in lung cancer patients with moderate pulmonary hypofunction

作　　者：苏全冠[1] 马刚[1] 王春梅[1] 朱志蔚[1] 张荣奎[1] 

机构地区：[1]中山大学肿瘤医院ICU肺功能室,广州510060

出　　处：《广州医药》2004年第5期22-24,共3页Guangzhou Medical Journal

摘　　要：目的　探讨中度肺通气功能减退肺癌患者术后并发症的情况 ,了解中度肺通气功能减退患者手术耐受情况。方法　同期对照分析 31例中度肺通气功能减退与 6 2例肺功能正常两组病例并发症的发生情况 ,进行t检验及卡方检验作比较分析。结果　中度肺通气功能减退患者术后常见低氧血症 (4 1 9% ) ,心律失常或心功能不全(2 5 8% ) ,肺部感染 (2 5 8% )等一般并发症 ,呼吸衰竭、心力衰竭等严重并发症的发生率为 9 2 % ;院内死亡率为3 2 % ;而正常组此四类并发症发生率分别为 16 1%、 8 1%、 9 6 %及 3 2 % ,无院内死亡。结果　中度肺通气功能减退肺癌患者术后出现低氧血症等一般并发症机率较正常组明显增高 ,而严重并发症及院内死亡发生率并无明显增高 ,一般无手术禁忌。Objective To analyze postoperaitve complications of lung cancer patients with moderate pulmonary hypofunction. Methods Review the postoperative complications of 31 patients with moderate pulmonary hypofunction and 62 patients with normal pulmonary function. Statistic t test and χ 2 test are set to exam the data, logistic regression is performed to find the associated factors. Results In patients with moderate pulmonary hypofunction, hypoxemia(41.9%), arrhythmia and cardiac disfunction(25.8%), pulmonary inflammation(25.8%) are common postoperative complications, respiratory failure and cardiac failure(9.2%)are severe complications, in-hospital mortality rate is 3.2%. In the control group, the occurrence rate is 16.1%, 8.1%,9.6%,3.2% accordingly, no case died in hospital. Conclusion common postoperative complications(hypoxemia) in patients with moderate pulmonary hypofunction are remarkably higher than those in control group, but severe complications and in-hospital mortality rate are not significantly high.

关 键 词：中度 肺通气功能 肺癌 开胸手术 耐受性 并发症 肿瘤 

分 类 号：R734.2[医药卫生—肿瘤]