论文部分内容阅读
目的探讨肺癌术后心律失常的原因及防治措施。方法对1999年至2009年期间的170例肺癌手术患者临床资料进行回顾性分析,按可能并发心律失常诱因分组,比较术后心律失常的发生率。结果年龄≥60岁、术前心电图异常,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、未有效镇痛等因素致术后心律失常的发生率较高(P<0.05)。结论高龄、术前心肺功能差、手术创伤大、术后疼痛、贫血等是肺癌术后心律失常的高危因素。术前积极改善心肺功能,严格掌握手术适应症,术中避免损伤神经,减少出血、术后有效镇痛、积极补充血容量,纠正低氧等可能会有效减少术后心律失常发生。
Objective To investigate the causes of postoperative arrhythmia in lung cancer and its prevention and treatment. Methods The clinical data of 170 lung cancer patients from 1999 to 2009 were analyzed retrospectively. The possible causes of arrhythmia were divided into groups according to the incidence of postoperative arrhythmia. Results The patients with the age of 60 years or older had abnormal preoperative electrocardiogram, poor pulmonary function (FEV1 / FVC <70%), extensive resection scope, long time, blood loss, inadequate postoperative blood volume supplement and no effective analgesia The incidence of arrhythmia was higher (P <0.05). Conclusion The elderly, preoperative cardiopulmonary dysfunction, trauma, postoperative pain, anemia and other risk factors for postoperative arrhythmia of lung cancer. Preoperative positive and improved cardiopulmonary function, strict surgical indications, intraoperative avoid damage to the nerves, reduce bleeding, postoperative effective analgesia, and actively add blood volume, correct hypoxia may be effective in reducing the incidence of arrhythmia.