全肺切除术后患者并发心律失常的临床分析  

Clinical analysis of arrhythmia after total pneumonectomy

作　　者：洛菲[1] 郑光华[2] 张荣生[2] 

机构地区：[1]山西省肿瘤医院ICU,太原030013 [2]山西省肿瘤医院胸外三病区,太原030013

出　　处：《肿瘤研究与临床》2010年第1期47-48,51,共3页Cancer Research and Clinic

摘　　要：目的探讨全肺切除围手术期心律失常的发生原因及处理方法。方法对94例施行单侧全肺切除术后合并心律失常的患者进行临床分型、病因分析和心脏监护。结果术后发生心律失常者占36．2％（34／94），以窦速为多见。术前心电图正常者与异常者术后心律失常发生率分别为22．5％（16／71）和78．3％（18／23）；术后行镇痛治疗者与未行镇痛治疗者的心律失常发生率分别为24.2％（15／62）和28．1％（9／32）。结论全肺切除术后患者心律失常的发生受年龄与既往病史、低氧血症、心脏应激性增强等因素影响。术前对心血管疾病患者进行干预治疗，术后保持血氧平稳、呼吸道通畅及有效镇痛能有效减少心律失常发生。Objective To approach the reason and treatment of arrhythmia after total pneumoneetomy. Methods 94 arrhythmic cases after total pneumonectomy surgery were reviewed, the arrhythmia＇ s clinical types, developing reasons and treatment process were summarized. Results There are 34 arrhythmic cases （36.2 %） in all the 94 patients, most of them are sinus tachycardia. The incidences of arrhythmic are about 22.5 % and 78.3 % for normal and abnormal ECG patients before operation. The incidences of arrhythmie are also about 24.2 % and 28.1% for using PCEA or not using any pain killers after surgery. Conclusion Arrhythmia after total pneumonectomy was influenced by patients age, previous medical history, suffered hypoxemia during operation and high cardiac irritability. Using interventional treatment for patients with cardiovascular disease before operation, give enough oxygen, keep respiratory tract ease and smooth and using analgesia can significantly decease the arrhythmic incidence after total pneumoneetomy.

关 键 词：肺切除术 心律失常 

分 类 号：R655.3[医药卫生—外科学] R541.7[医药卫生—临床医学]