中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
23期
9-11
,共3页
郭睿%杨勇伟%努尔兰·阿汗
郭睿%楊勇偉%努爾蘭·阿汗
곽예%양용위%노이란·아한
肺切除术%心律失常%危险因素
肺切除術%心律失常%危險因素
폐절제술%심률실상%위험인소
Pneumonectomy%Arrhythmia%Risk factors
目的 分析重度阻塞性肺气肿胸腔镜下行肺减容术患者术后发生心律失常的危险因素.方法 回顾性分析118例胸腔镜下行肺减容术患者的临床资料,对可能致术后心律失常的危险因素采用非条件多元Logistic回归分析.结果 非条件多元Logistic回归分析表明:年龄≥70岁、心血管病史、术前第1秒用力呼气容积(FEV1)/用力肺活量(FVC)＜ 70％、术前血钾＜4 mmol/L是致患者术后心律失常的独立危险因素.结论 控制手术适应证、加强围手术期管理、提高手术技巧缩短手术时间、合理应用抗心律失常药物是防止肺减容术患者术后发生心律失常的重要方法.
目的 分析重度阻塞性肺氣腫胸腔鏡下行肺減容術患者術後髮生心律失常的危險因素.方法 迴顧性分析118例胸腔鏡下行肺減容術患者的臨床資料,對可能緻術後心律失常的危險因素採用非條件多元Logistic迴歸分析.結果 非條件多元Logistic迴歸分析錶明:年齡≥70歲、心血管病史、術前第1秒用力呼氣容積(FEV1)/用力肺活量(FVC)＜ 70％、術前血鉀＜4 mmol/L是緻患者術後心律失常的獨立危險因素.結論 控製手術適應證、加彊圍手術期管理、提高手術技巧縮短手術時間、閤理應用抗心律失常藥物是防止肺減容術患者術後髮生心律失常的重要方法.
목적 분석중도조새성폐기종흉강경하행폐감용술환자술후발생심률실상적위험인소.방법 회고성분석118례흉강경하행폐감용술환자적림상자료,대가능치술후심률실상적위험인소채용비조건다원Logistic회귀분석.결과 비조건다원Logistic회귀분석표명:년령≥70세、심혈관병사、술전제1초용력호기용적(FEV1)/용력폐활량(FVC)＜ 70％、술전혈갑＜4 mmol/L시치환자술후심률실상적독립위험인소.결론 공제수술괄응증、가강위수술기관리、제고수술기교축단수술시간、합리응용항심률실상약물시방지폐감용술환자술후발생심률실상적중요방법.
Objective To analyze the risk factors of postoperative arrhythmia in severe obstructive pulmonary emphysema patients with thoracoscopic lung volume reduction surgery.Methods The clinical data of 118 severe obstructive pulmonary emphysema patients with thoracoscopic lung volume reduction surgery were retrospectively analyzed.The possible risk factors of postoperative arrhythmia were analyzed using unconditioned multivariate Logistic regression analysis.Results Unconditioned multivariate Logistic regression analysis results showed that:age ≥ 70 years,history of cardiovascular disease,preoperative forced expiratory volume in one second (FEV1)/forced vital capacity (FVC) ＜ 70％,preoperative serum potassium ＜ 4 mmol/L were the independent risk factors of postoperative arrhythmias.Conclusion Control surgical indications,peroperative period management,improved surgical techniques in order to shorten the operation time,the rational use of anti-arrhythmic drugs are the important methods to prevent the postoperative arrhythmia in patients with thoracoscopic lung volume reduction surgery.
