【摘要】 目的探讨术前肺功能评价与老年患者行全肺切除术后并发症的发生及死亡率的相关性。方法对42例60岁以上行全肺切除术患者,术前测定VC%、MVV%、FEV1%、DLCO%、屏气试验、血气分析,并与术后进行对比分析。结果术后较严重并发症12例,死亡2例。无并发症组与并发症及死亡组术前肺功能指标有显著性差异的是FEV1%、DLCO%和屏气时间。当MVV%<60%、FEV1<50%、DLCO%<50%、屏气时间<30s时,全肺切除术后风险明显增高。结论对于需行全肺切除的老年患者,综合正确评价患者的肺功能情况,积极的围术期处理,既可避免让一些患者失去手术治疗机会,又能减少术后并发症及死亡率。更多还原

【Abstract】 Objects Including to discuss the relationship of preoperative pulmonany functionin assessment and post operative complication and mortality in pneumonectomy of the patients older than sixty.Methods We reviewed our experience with 42 patients older than sixty who underwent pneumonectomy.Preoperative pulmonany functionin assessment including MVV%,FEV1%,DLCO%,hold breath test and arterial blood gas analysis were observed.The patients with no post operative complication and the patients with major post operative complications or mortalities were compared.Results There were 12 patients sufferd major post operative complications and 2 cases dead.FEV1%,DLCO% and hold breath test were significantly different from fhat of the patients with no post operative complication.When MVV%<60%,FEV1<50%,DLCO%<50% and hold breath time<30s,the major post operative complications or mortalities were increase.Conclusion For those elder patients with pneumonectomy,the assessment of the preoperative pulmonary function is the key to decrease the postoperative complication and mortality.更多还原