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目的 探讨肺癌患者术后心律失常的因素及防治措施。方法 对 1 6 6例肺癌患者术后的监护发生 2 4例心律失常因素分析 ,统计以 X2检验。结果 肺癌患者术后的心律失常发生率为 1 4 .5 % ,其影响因素为年龄、肺功能、术前的心律失常和手术方式等为主 ,且手术时间越长其发生几率越高 ,但未取得统计学证实。结论 肺癌患者手术前要积极治疗心脏原发病 ,并严格掌握肺癌患者手术的适应症 ,患者术后应在 ICU室 ,要加强监护观察和护理 ,是减少或防止心律失常发生的有效措施
Objective To investigate the factors of postoperative arrhythmia in patients with lung cancer and its prevention and treatment. Methods Twenty-six cases of arrhythmia were monitored in 166 cases of lung cancer patients after operation, and the statistic was X2 test. Results The incidence of arrhythmia in patients with lung cancer was 14.5%. The main influencing factors were age, pulmonary function, preoperative arrhythmia and surgical methods. The longer the operation time was, the higher the incidence of arrhythmia was. No statistics confirmed. Conclusions Patients with lung cancer should actively treat primary cardiopathies before surgery and strictly master the indications of surgery for lung cancer patients. Patients should be in ICU room after surgery, and monitoring and nursing care should be strengthened to reduce or prevent arrhythmia.