摘要
分析２６５例非小细胞肺癌术前肺功能等因素与全肺切除术后近期预后的关系。证实肺功能越差，术后近期预后越差，尤其当ＶＣ、ＭＶＶ占预计值＜６０％、ＦＥＶ１＜１．５Ｌ或ＦＥＶ１％＜５０％时，全肺切除术后危险性明显增高。有长期吸烟史和慢性支气管炎史、有心血管疾病或术前作过化疗或放疗者，术后并发症也随之增多。
This paper reports 265 cases of pneumonectomy for non-small cell lung cancer.Postoperative complications occurred in 57(21.5%) cases and mortality in 10(3.8%).Analyses of early postoperative follow-up results of this group of patients demonstrated that the main factor influencing the postoperative prognosis was preoperative pulmonary function in addition to the extent of the pulmonary lesion,operative technique,anesthesia,and postoperative intensive care.The lower the pulmonary function,the poorer was the prognosis,especially so when VC< 6%,MVV<60%,FEV1%<50% or FEV1<1.5litre.The incidence of postoperative complications was higher in patients with chronic bronchitis,long history of smoking,cardiovascular disease,preoperative chemotherapy and/or radiotherapy.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1995年第4期214-215,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
肺切除
肺功能
肺肿瘤
预后
Lung cancer
Pneumonectomy
Pulmonary function
Early postoperative follow-up results
