摘要
目的 :探讨开胸术后呼吸衰竭的发病原因、临床特点及有效的预防、治疗方法。方法 :对本院1993年 1月～ 1999年 4月开胸术后并发呼吸衰竭的发病情况及其治疗结果进行统计分析。结果 :术前心肺功能异常、麻醉、手术创伤、感染、术后出血等为术后呼吸衰竭的主要原因 ,其发生率为3.5 6 % (2 6 / 730 ) ,死亡率为 2 3.1% (6 / 2 6 )。结论 :加强围手术期呼吸道管理 ,减轻手术创伤 ,预防和正确处理术后并发症是防止呼吸衰竭的关键 。
Objective:To investigate the cause, clinical characteristic and effective preventive and therapeutic methods for postoperative respiratory failure. Methods:Statistic analysis was made in 26 cases of postoperative respiratory failure who underwent treatment during the period from Jun. 1993 to Apr. 1999. Results:Preoperative abnormality of heart and lung function, anaesthetic and operative trauma, postoperative infection and hemorrhage were the main causes of postoperative respiratory failure, The incidence rate was 3.56%(26/730) and the mortality rate was 23.1%(6/26). Conclusion:The key points for preventing this complication were intensive preoperative respiratory care, minimizing operative trauma, prevention and adequate management of other complications, The most effective treatment was mechanic ventilation.
出处
《白求恩医科大学学报》
CAS
CSCD
北大核心
2001年第5期534-535,共2页
Journal of Norman Bethune University of Medical Science
关键词
开胸手术
呼吸衰竭
机械通气
手术后
thoracotomy
respiratory failure
mechanic ventilation
