肺癌术后心律失常病例分析  

Analysis of postoperative arrhythmia in patients with lung cancer

作　　者：范瑞锦 张美岭[1] 于辉[1] 张文惠[1] 

机构地区：[1]哈尔滨医科大学附属第三医院心肺功能室,黑龙江哈尔滨150081

出　　处：《哈尔滨医科大学学报》2016年第2期121-123,共3页Journal of Harbin Medical University

摘　　要：目的探讨肺癌术后发生心律失常的相关因素。方法回顾性分析450例肺癌手术患者临床资料。结果肺癌术后发生心律失常105例,发生率为23.33%,高龄(≥60岁)、吸烟、1s用力呼气容量/用力肺活量(FEV1/FVC%)<70%和(或)最大通气量(MVV%)<60%、术前心电图异常、手术方式与术后心律失常的发生有关(P<0.05)。结论术前积极改善心肺功能,术后完善护理,及时纠正酸碱失衡和电解质紊乱可减少心律失常的发生。Objective To investigate the relevant factors for cardiac arrhythmia after operation of lung cancer. Methods A retrospective analysis of 450 patients after lung cancer surgery was performed. Results Among 450 lung cancer patients,there were 105 patients with postoperative cardiac arrhythmia（ 23. 33%）. The cardiac arrhythmia was related to age,tobacco smoking,ECG before operation,operation methods,FEV1/ FVC% and MVV%（ P 〈 0. 05）.Conclusion Improvement of heart and lung functions,postoperative care with ECG and preventing electrolyte disturbances can reduce the risk of cardiac arrhythmia after lung cancer operation.

关 键 词：肺癌 危险因素 心律失常 

分 类 号：R734.2[医药卫生—肿瘤]