《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (07): 588-588.

• 临床观察 • 上一篇    下一篇

慢性阻塞性肺疾病对胸部手术的影响

吴煌福; 林伟民; 李标   

  1. 海南医学院附属新华医院胸外科 海南海口市 570311
  • 收稿日期:2005-03-09 出版日期:2005-07-25 发布日期:2005-07-25

Influence of chronic obstructive pulmonary disease on the risk of intrathoracic surgery

WU Huang-fu, LIN Wei-min, LI Biao   

  1. Department of Thoracic Surgery, Xinhua Affiliated Hospital of Hainan Medical College, Haikou 570311, Hainan, China
  • Received:2005-03-09 Published:2005-07-25 Online:2005-07-25

摘要: 目的探讨慢性阻塞性肺疾病(CPOD)对胸部手术的影响因素及围手术期处理。方法对35例合并慢性阻塞性肺疾病的开胸患者临床资料进行分析。结果全组手术成功率在80%以上,无术中死亡。术后并发急慢性呼吸衰竭各4例,死亡6例。结论合并慢性阻塞性肺疾病患者行胸部手术时,应保证用力肺活量>60%,MVV和FEV1至少1项>40%。

关键词: 慢性阻塞性肺疾病, 胸部手术, 呼吸功能

Abstract: ObjectiveTo evaluate the influence of chronic obstructive pulmonary disease on the risk of intrathoracic operation.Methods35 patients associated with chronic obstructive pulmonary disease undergoing intrathoracic operation were analyzed retrospectively.ResultsPostoperative acute and chronic respiratory failure occurred in 4 patients respectively, resulting in 6 deaths.ConclusionThe indication of patients associated with chronic obstructive pulmonary disease for intrathoracic operation should be critically scrutinized, which may include FVC>60% and MVV>40% or FEV1>40%.

Key words: chronic obstructive pulmonary disease, thoracotomy, respiration function