摘要
目的分析肺切除近期死亡原因。方法回顾性分析46例各种肺切除术后近期（一个月内）死亡病例。结果男37例，女9例。年龄38－74岁。年龄≥60岁和＜60岁组近期死亡率分别为1．23％和0．45％（P＜0．01）。全肺切除组和肺部分切除组的近期死亡率分别为0．51％和0．32％（P＜0．01）。死亡原因包括：循环并发症17例，癌肿转移10例，急性呼吸衰竭10例，消化道并发症6例，支气管胸膜瘘脓胸2例，肾功能衰竭1例。结论围术期积极妥善处理各种合并症及并发症、严格掌握手术适应证，减少不必要的剖胸术与姑息性手术，尽量避免全肺切除等措施有望进一步降低术后近期死亡率。
Objective To study the risk factors of postoperative short-term mortality after lung resection.Method Retrospective analysis on 46 cases ongoing lung resection but died within 1 month postoperatively.Results There were 37 males and 9 females in this group, aging 38 ~ 74 years old. The mortalities be of the group ≥60 year-old and below 60 were 1.23% and 0.45% (P< 0.01), respectively. The short-term mortalities of the group of pneumonectomy and partial lung resection were 0.51% and 0.32% (P < 0.01), respectively.Causes of the postoperative death were 17 cases of complications of circulatory system, 10 0f cancer metastasis,10 of acute respiratory failure, 6 of intestinal complications,2 of bronchopleural fistula and 1 of renal failure.Conclusion Measures such as manuver of perioperative complications and coexistant disorders appropriately,reduction of unnecessary explorative thoracotomy and palliative cancer resection,avoidence of pneumonectomy as possible may be helpful to lower the postoperative short-term mortality.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2000年第4期232-234,共3页
Chinese Journal of Tuberculosis and Respiratory Diseases
关键词
肺切除术
围术期
死亡原因
Lung resection
Peroperative period
Death cause
