肺癌术后心脏并发症危险因素分析  

Analysis on the risk factors of postoperative cardiac complications in lung cancer patients

作　　者：徐海蓉[1] 罗洞波[2] 房福元 庞作良[2] 

机构地区：[1]武警新疆总队医院心内科,新疆乌鲁木齐830011 [2]新疆医科大学附属肿瘤医院胸外科,新疆乌鲁木齐830011

出　　处：《武警后勤学院学报（医学版）》2015年第2期108-111,共4页Journal of Logistics University of PAP（Medical Sciences）

摘　　要：【目的】探讨肺癌术后发生心脏并发症的主要危险因素,为针对性预防其发生提供临床指导依据。【方法】收集194例进行肺癌手术治疗的老年肺癌患者的临床资料,应用Logistic回归分析比较患者的性别、年龄、吸烟指数、术前有无高血压、术前有无心律失常、手术方式、手术切除范围、手术时间、术中出血量、术后有无肺部感染、术后有无胸腔积液、术后有无气胸等因素与术后发生心脏并发症的相关强度,推测可能导致术后发生心脏并发症的危险因素。【结果】患者术前合并心律失常、手术切除范围大、手术时间>3 h、术中出血量≥500 ml、术后肺部并发症,5个因素与术后心脏并发症发生有显著相关性(P<0.05)。【结论】纠正术前心律失常、减少全肺切除、缩短手术时间、减少术中出血、降低术后肺部并发症等是预防和减少术后心脏并发症的重要环节之一。[Objective]To analyze the risk faelors of postoperative cardiac complications in lung cancer patients. [Methods]Clinical data of 194 cases of elderly lung cancer patients were collected at）er surgical treatment. Age, sex, smoke index, preoperative hyperten- sion, preoperative arrhythmias, surgieal methods, surgical resection, operation time, blood loss, posloperative hmg infection, pleural eith- sinn, and pneumothorax were compared by Logistic Regression analysis. [ Results ]The risk factors of postoperative cardiac complications include preoperative arrhythmias, pneumonectomy, operative time over 3 hours, blood loss over 500 ml and postoperative pulmonary complications（lung infection, pleural effusion, amt pneamolhorax）（ P 〈 0.05）. [ Conlusion ] To prevent the occurrence of postoperative cardiac complications, correct preoperative arrhythmias, reduce pneumoneetomy, shorten the operation time, reduce blood loss and reduce postoperative pulmonary complications may be helpful.

关 键 词：肺癌 心脏并发症 危险因素 

分 类 号：R734.2[医药卫生—肿瘤]