中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2013年
6期
331-332
,共2页
肺癌%肺通气功能%肺部并发症
肺癌%肺通氣功能%肺部併髮癥
폐암%폐통기공능%폐부병발증
Lung cancer lung%ventilation function lung%complications
目的：探讨肺肿瘤术前肺功能、手术方式及年龄与术后肺部并发症的关系。方法：回顾2011年4月--2012年10月，我院收治肺部肿瘤手术93例，6例为良性病变，87例为非小细胞肺癌，分中青年（＜60岁）组和老年组（≥60岁），统计患者年龄、术前肺通气功能与术式和术后并发症情况。结果：研究显示：本组患者围手术期死亡2例，均为老年患者，术前肺功能中重度损害者，术后心肺并发症显著增多，达34.8%，中青年患者术后肺部并发症为9.1%，两组间P＜0.05,有统计学差异。这可能与就诊时间较晚、症状不典型、肺功能中重度损害、抽烟史较长及合并基础疾病有关。结论：年龄不是手术禁忌症，但60岁以上肺功能较差者，合并严重肺气肿者，慎行开胸手术，特别是全肺切除术，如病变位置适宜，应尽可能多的保留健肺组织，减少术后肺部并发症的发生。
目的：探討肺腫瘤術前肺功能、手術方式及年齡與術後肺部併髮癥的關繫。方法：迴顧2011年4月--2012年10月，我院收治肺部腫瘤手術93例，6例為良性病變，87例為非小細胞肺癌，分中青年（＜60歲）組和老年組（≥60歲），統計患者年齡、術前肺通氣功能與術式和術後併髮癥情況。結果：研究顯示：本組患者圍手術期死亡2例，均為老年患者，術前肺功能中重度損害者，術後心肺併髮癥顯著增多，達34.8%，中青年患者術後肺部併髮癥為9.1%，兩組間P＜0.05,有統計學差異。這可能與就診時間較晚、癥狀不典型、肺功能中重度損害、抽煙史較長及閤併基礎疾病有關。結論：年齡不是手術禁忌癥，但60歲以上肺功能較差者，閤併嚴重肺氣腫者，慎行開胸手術，特彆是全肺切除術，如病變位置適宜，應儘可能多的保留健肺組織，減少術後肺部併髮癥的髮生。
목적：탐토폐종류술전폐공능、수술방식급년령여술후폐부병발증적관계。방법：회고2011년4월--2012년10월，아원수치폐부종류수술93례，6례위량성병변，87례위비소세포폐암，분중청년（＜60세）조화노년조（≥60세），통계환자년령、술전폐통기공능여술식화술후병발증정황。결과：연구현시：본조환자위수술기사망2례，균위노년환자，술전폐공능중중도손해자，술후심폐병발증현저증다，체34.8%，중청년환자술후폐부병발증위9.1%，량조간P＜0.05,유통계학차이。저가능여취진시간교만、증상불전형、폐공능중중도손해、추연사교장급합병기출질병유관。결론：년령불시수술금기증，단60세이상폐공능교차자，합병엄중폐기종자，신행개흉수술，특별시전폐절제술，여병변위치괄의，응진가능다적보류건폐조직，감소술후폐부병발증적발생。
Objective:to study the relationship of preoperative pulmonary function, the operation method and the age and postoperative pulmonary complications. Method:in April 2011-in October 2012, our lung surgery treated 93 cases, 6 cases of benign lesions , 87 cases of non-smal cel lung cancer, middle-aged or young group (<60 years old) and elderly group (60) or higher, statistics of patients age, preoperative pulmonary ventilation function and the operative methods and postoperative complications. Results: research shows that: 2 cases of death in this group of patients with perioperative, al are elderly patients, preoperative pulmonary function of moderately severe damage, postoperative cardiopulmonary complications was significantly increased, was 34.8%, and the young or middle-aged patients with post-operative pulmonary complications was 9.1%, between the two groups (P < 0.05, statistical y significant. This may be related to clinical time later, the symptoms are not typical, moderately severe damage to the lung function and smoking history is long and with basic diseases.Conclusion:Age is not the operation contraindication, but sixty years old is lung function dealing with severe emphysema, the running-in open-chest surgery, especial y pneumonectomy, if lesion location is appropriate, should keep as much as possible the lung tissue,to reduce postoperative pulmonary complications.
