中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
11期
1496-1498
,共3页
张立凡%许怀宏%扬敏杰%张辉标
張立凡%許懷宏%颺敏傑%張輝標
장립범%허부굉%양민걸%장휘표
高龄%贲门癌%手术后%呼吸衰竭%危险因素
高齡%賁門癌%手術後%呼吸衰竭%危險因素
고령%분문암%수술후%호흡쇠갈%위험인소
Elderly%Cardiac carcinoma%Post-operation%Respiratory failure%Risk factor
目的 分析可能导致高龄贲门癌患者术后呼吸衰竭(RF)的因素.方法 分析高龄贲门癌术后发生RF 28例患者与同期术后未发生RF的56例患者的临床资料,比较两组术前肺功能,术前、术后合并症、手术方式、手术当天静脉液体人量、年龄、吸烟量的差异.进行单因素分析和多因素Logistic回归分析.结果 单因素分析显示最大通气量(MVV)<50%、残气容量/肺总量(RV/LTC>50%、第一秒用力呼气容积(FEV1)<1.5 L、最大呼气流量(PEF)<70%、75%肺活量最大呼气流量(V75)<70%、肺一氧化碳弥散量(DLCO)<80%、手术当天(含术中)静脉晶体入量和输血量、术后其并发症发生率、胸部切口,与术后RF有关.多因素Logistic回归分析发现MVV<50%、RV/LTC:>50%、FEV1<1.5 L、DLCO<80%是术后发生RF的危险因素.结论术前肺功能检查可预测术后RF的发生,也可采取预防措施减少RF的发生.
目的 分析可能導緻高齡賁門癌患者術後呼吸衰竭(RF)的因素.方法 分析高齡賁門癌術後髮生RF 28例患者與同期術後未髮生RF的56例患者的臨床資料,比較兩組術前肺功能,術前、術後閤併癥、手術方式、手術噹天靜脈液體人量、年齡、吸煙量的差異.進行單因素分析和多因素Logistic迴歸分析.結果 單因素分析顯示最大通氣量(MVV)<50%、殘氣容量/肺總量(RV/LTC>50%、第一秒用力呼氣容積(FEV1)<1.5 L、最大呼氣流量(PEF)<70%、75%肺活量最大呼氣流量(V75)<70%、肺一氧化碳瀰散量(DLCO)<80%、手術噹天(含術中)靜脈晶體入量和輸血量、術後其併髮癥髮生率、胸部切口,與術後RF有關.多因素Logistic迴歸分析髮現MVV<50%、RV/LTC:>50%、FEV1<1.5 L、DLCO<80%是術後髮生RF的危險因素.結論術前肺功能檢查可預測術後RF的髮生,也可採取預防措施減少RF的髮生.
목적 분석가능도치고령분문암환자술후호흡쇠갈(RF)적인소.방법 분석고령분문암술후발생RF 28례환자여동기술후미발생RF적56례환자적림상자료,비교량조술전폐공능,술전、술후합병증、수술방식、수술당천정맥액체인량、년령、흡연량적차이.진행단인소분석화다인소Logistic회귀분석.결과 단인소분석현시최대통기량(MVV)<50%、잔기용량/폐총량(RV/LTC>50%、제일초용력호기용적(FEV1)<1.5 L、최대호기류량(PEF)<70%、75%폐활량최대호기류량(V75)<70%、폐일양화탄미산량(DLCO)<80%、수술당천(함술중)정맥정체입량화수혈량、술후기병발증발생솔、흉부절구,여술후RF유관.다인소Logistic회귀분석발현MVV<50%、RV/LTC:>50%、FEV1<1.5 L、DLCO<80%시술후발생RF적위험인소.결론술전폐공능검사가예측술후RF적발생,야가채취예방조시감소RF적발생.
Objective To analyze the risk factors of post-operative respiratory failure in elderly cardiac carcinoma patients.Methods 28 elderly patients with respiratory failure (respiratory failure group) after the resection of cardiac carcinoma and 56 controls (control group) were studied.Preoperative respiratory function,the other complications,the site of incision,intravenous infusion,age of patients and smoking between two groups were compared by Logistic regression.Results Univariate risk factors included MVV<50% ,RV/TLC>50% ,FEV1<1.5L,PEF<70% ,DLCO<80% ,V75<70% ,the venous input,incision at chest.Multivariate logistic regression analysis identified that MVV<50% ,RV/TLC>50% ,FEV,<1.5 L,DLCO<80% were risk factors.Conclusion These results suggested that the patients with risk factors described above need more careful pre and post operative surveillance and management.
