【摘要】 目的探讨肺癌患者手术后出现心律失常的危险因素,为临床防治提供依据。方法回顾性分析2007年1月～2012年3月在某科行原发性肺癌切除术的患者71例,比较出现心律失常与未出现心律失常患者各临床影响因素的差异,单因素分析应用χ2检验,多因素分析应用Logistic回归统计分析。结果 71例肺癌患者术后共发生心律失常14例,为19.7%,多因素分析发现心律失常病史,电解质紊乱,年龄超过70岁,手术方式,术前肺功能异常和射血分数低于50%为肺癌术后引起心律失常的危险因素。结论对于肺癌需进行手术治疗的患者,术前积极改善心、肺功能的状态,纠正低氧血症,综合选择手术方式,并在术后动态监测电解质及体内酸碱平衡的变化,可有效降低心律失常的发生。更多还原

【Abstract】 OBJECTIVE To investigate the risk factor of cardiac arrhythmia following operation on lung cancer,to search approach for its prevention and treatment.METHODS An epidemiological survey of the cardiac arrhythmia following operation on lung cancer was conducted in our hospital from January 2007 to March 2012.Logistic regression was performed.RESULTS In 71 lung cancer patients,the post-operation cardiac arrhythmia occupied 19.7%(17 /71).The risk factors were identified by multifactor unconditional logistic regression,including age older than 70y,poor pulmonary function,pericardial injury,acidbase imbalance and electrolyte disorders post-operation.CONCLUSION In order to prevent the occurrence of postoperative arrhythmias,measures such as active treatment of cardio-pulmonary complication,improvement of heart and lung functions,postoperative care with ECG and preventive treatment should be taken.更多还原