普胸外科手术围术期肺部并发症的防治  

Prevention and treatment of pulmonary complications during perioperative period of general thoracic surgery

作　　者：周忠杰 韩毅[2] 于大平[2] ZHOU Zhong-jie;HAN Yi;YU Da-ping(Department of Thoracic Surgery,Inner Mongolia Forestry General Hospital,Inner Mongolia Yakeshi 022150,China;Department of Thoracic Surgery,Beijing Chest Hospital Capital Medical University,Beijing 101149,China)

机构地区：[1]内蒙古林业总医院胸外科,内蒙古牙克石市022150 [2]首都医科大学附属北京胸科医院胸外科,北京101149

出　　处：《中国医刊》2018年第11期1241-1243,共3页Chinese Journal of Medicine

摘　　要：目的探讨普胸外科手术围术期肺部并发症的防治措施。方法选取2016年9月至2017年9月在内蒙古林业总医院普胸外科接受手术治疗的96例患者作为研究对象,随机分为观察组与对照组,每组48例。对照组使用常规防治措施、观察组应用综合防治措施防治围术期肺部并发症,比较两组围术期肺部并发症发生情况。结果观察组围术期出现胸腔积液1例,并发症发生率为2.08%,对照组出现胸腔积液3例、肺不张2例、肺部感染3例,并发症发生率为16.67%,两组比较差异有显著性(χ~2=9.653,P<0.05)。结论采用综合防治措施可有效降低普胸外科围术期肺部并发症的发生率,促进术后恢复,值得临床推广。Objective To explore the prevention and treatment of perioperative pulmonary complications in general thoracic surgery. Method Ninety-six patients with general thoracic surgery from September 2016 to September 2017 were selected as the subjects. All patients were treated with effective prevention and treatment during the operation to analyze the recovery of clinical data. Result All the patients had a total of 9 cases of pulmonary complications, accounting for 9.38%, including pleural effusion in 4 cases accounted for 4.17%; 2 cases of pulmonary atelectasis, accounting for 2.08%; 3 cases of pulmonary infection, Accounting for 3.13%. All patients were treated with effective clinical treatment and were discharged. Conclusion The effective clinical treatment and prevention of perioperative surgery for general thoracic surgery can effectively reduce the risk of pulmonary complications and ensure the healthy quality of life of patients. The clinical value is very high.

关 键 词：胸外科手术 围术期 肺部并发症 防治 

分 类 号：R511.7[医药卫生—内科学]