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目的探讨肺癌患者手术后并发心律失常的原因及防治措施。方法回顾性分析2007至2010年收治的110例肺癌手术患者的临床资料,按可能并发心律失常的诱因分组,对术后心律失常的发生率进行比较。结果高龄患者(年龄≥60岁)、术前有心电图异常、肺功能差(FEV1/FVC<70%)、手术切除范围大、时间长、失血多,术后血容量补充不足、术后镇痛均与肺癌患者术后心律失常的发生有显著相关性(P<0.05)。结论严格掌握手术适应症,术前积极治疗心肺并发症,改善心肺功能;术中尽量减少出血、积极补充血容量、避免损伤神经;术后进行有效镇痛,加强心电监护及预防处理,可以减少肺癌患者手术后心律失常的发生。
Objective To investigate the causes and prevention and treatment of arrhythmia after lung cancer surgery. Methods The clinical data of 110 lung cancer patients who were treated from 2007 to 2010 were retrospectively analyzed. The incidence of postoperative arrhythmia was compared according to the causes of possible arrhythmia. Results The elderly patients (age ≥60 years) had abnormal electrocardiogram (ECG) and poor pulmonary function (FEV1 / FVC <70%) preoperatively. The range of resection was large, the time was longer, blood loss was more, postoperative blood volume was insufficient, postoperative analgesia There was a significant correlation between the occurrence of arrhythmia and postoperative arrhythmia in patients with lung cancer (P <0.05). Conclusion Strict control of surgical indications, preoperative positive treatment of cardiovascular complications, improve heart and lung function; intraoperative minimize bleeding, blood volume and actively supplement, to avoid nerve damage; effective postoperative analgesia, ECG monitoring and prevention and treatment can be strengthened, you can Reduce the incidence of arrhythmia after lung cancer surgery.