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目的比较术前不同肺功能肺癌患者围术期心肺并发症发生率现况。方法连续选择近期接受手术治疗的105例原发性肺癌患者,观察他们围术期发生并发症情况,并按术前肺功能分组比较。结果 105例接受肺癌手术患者术前低肺功能状态36例(34.29%,%FEV1≤50%,低肺功能组),术前非低肺功能患者69例(对照组)。低肺功能组围术期发生肺内感染、肺不张、低氧血症、呼吸衰竭心律失常及心肺并发症发生频次均明显多于对照组(P<0.05～0.01)。结论低肺功能肺癌手术患者围术期发生心肺并发症较多。
Objective To compare the incidence of perioperative cardiopulmonary complications in patients with different kinds of lung function before operation. Methods A total of 105 patients with primary lung cancer undergoing surgical treatment were selected consecutively to observe their perioperative complications and compared with preoperative lung function. Results Among the 105 patients who underwent lung cancer surgery, 36 patients (34.29%,% FEV1≤50%, low lung function group) and 69 preoperative non-low lung function patients (control group) had low preoperative pulmonary function. Pulmonary infection, atelectasis, hypoxemia, arrhythmia of respiratory failure and incidence of cardiopulmonary complications in low lung function group were significantly more than those in control group (P <0.05 ~ 0.01). Conclusion There are more cardiopulmonary complications perioperatively in patients with lung cancer with low lung function.