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目的 :确定和评估全肺切除术后并发症和死亡危险因素。方法 :回顾分析 1 984年 6月 -2 0 0 0年 6月 2 4 6例根治性全肺切除术肺癌病例资料 ,评估术后 30 d医院内病死率及危险因素。结果 :2 4 6例中手术死亡 1 8例 ( 7.3% ) ,发生并发症 5 2例 ( 61 .80 % )。结论 :病人的年龄、重度吸烟、围手术期的输液管理、肺感染、终止机械通气失败及复合并发症是手术死亡主要的相关危险因素
Objectives: To identify and assess postoperative pneumonectomy complications and risk factors for death. Methods: The data of 226 cases of radical pneumonectomy lung cancer from June 1984 to June 2004 were analyzed retrospectively to evaluate the hospital mortality and risk factors within 30 days after operation. Results: Twenty-eight (7.3%) patients died of surgery in 52 46 cases, and complications occurred in 52 (61.80%) patients. Conclusion: The age, smoking, perioperative management of infusion, lung infection, the failure of mechanical ventilation and complication complications are the main risk factors for surgical death