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目的:探讨和分析西宁地区(海拔2260m)肺切除术后呼吸衰竭的高危预测因素。方法:收集1998年—2003年间在我院(海拔2260m)施行肺切除术后发生呼吸衰竭的51例患者(呼吸衰竭组)和未发生呼吸衰竭的265例患者(对照组)的临床资料,运用logistic回归分析肺切除术后呼吸衰竭的高危预测因素。结果:ASA评分、肺功能中重度损害、肺部病变恶性程度、年龄、手术切除范围依次是肺切除术后呼吸衰竭的高危预测因素。结论:高海拔地区肺切除术后呼吸衰竭的发生率比平原地区高。加强围术期处理,有助于减少术后呼吸衰竭的发生。
Objective: To investigate and analyze the high risk predictors of respiratory failure after lung resection in Xining (elevation 2260m). Methods: The clinical data of 51 patients (respiratory failure group) and 265 patients without respiratory failure (control group) who had respiratory failure after pneumonectomy in our hospital (elevation 2260m) from 1998 to 2003 were collected. Logistic regression analysis of high risk predictors of respiratory failure after pneumonectomy. Results: The ASA score, moderate or severe lung function impairment, the severity of pulmonary lesion, age and surgical excision range were the highest risk predictors of respiratory failure after pneumonectomy. CONCLUSIONS: The incidence of respiratory failure after pneumonectomy in high altitude is higher than in the plain. Strengthen the perioperative management, help to reduce postoperative respiratory failure.