肺癌术后心律失常的重症监护及治疗措施  

Intensive care therapy and therapeutic measure of postoperative arrhythmia in lung cancer patients

作　　者：张岩[1] 崔志坚 王秀菊[3] 徐进志[4] 王昕[5] 

机构地区：[1]哈尔滨医科大学附属第二医院心电室,150056 [2]哈尔滨市第四医院麻醉科 [3]哈尔滨医科大学附属第四医院门诊部 [4]哈尔滨医科大学附属第四医院心胸外科 [5]哈尔滨医科大学附属第四医院麻醉科

出　　处：《中国急救医学》2008年第9期826-828,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的探讨肺癌术后患者心律失常的危险因素并选择合理的重症监护和治疗措施。方法对连续收治并行肺癌手术治疗的80例患者的心电图监护结果及胺碘酮治疗效果进行回顾性分析。结果80例患者中有12例(15%)术后发生心律失常,其中全肺切除术的患者中有4例(40%)发生心律失常,肺叶切除术的患者中有8例(12.7%)发生心律失常,肺楔形切除术和肺段切除术的患者无一例发生心律失常。年龄≥50岁、合并心肺疾病和全肺切除是术后发生心律失常的独立危险因素(P<0.05)。12例心律失常患者应用胺碘酮治疗后,10例得以纠正。结论持续心电监护可以监测肺癌患者术后的心律失常。胺碘酮能够恢复和维持窦性心律,可用于肺癌术后心律失常的治疗。Objective To investigate risk factors of postoperative arrhythmia in lung cancer patients and to choose reasonable intensive care therapy and therapeutic measure. Methods To analyze retrospectively the results of electrocardiogram monitoring and curative effect of amiodaron. Result Arrhythmia was found in 12 of 80 patients（ 15% ）. 4 of 12 arrhythmic patients accepted total pneumonectomy, 8 accepted pulmonary lobectomy, and the patients with wedge shape excision of lung and segmentectomy of lung had no arrhythma. Independent risk factors of arrhythmia were age（ ≥50 ） , the complications of the heart and lung diseases and total pneumonectomy（ P 〈0. 05）. After the treatment with amiodarone, 10 of 12 arrhythmic patients recovered to sinus rhythm. Conclusion Postoperative arrhythmia in lung cancer patients can be found by continuous electrocardiogram monitoring. Arrhythmic patients can recover to si- nus rhythm after using amiodarone. Amiodarone can be used for the therapy of postoperative arrhythmia in lung cancer patients.

关 键 词：肺癌 心律失常 心电监护 胺碘酮 

分 类 号：R541.7[医药卫生—心血管疾病] R734.2[医药卫生—内科学]