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目的:探讨肺癌术后并发心律失常的原因。方法:对106例施行肺叶切除术,其中行全肺切除术2例,行肺叶切除术104例,对术后合并心律失常的患者进行病因分析。结果:术后发生心律失常发生率为30.18%。与高龄,既往病史,吸烟史,术前心肺功能,手术方式,手术时间,术中出血,术后疼痛,肺部感染及肺不张等因数有关。结论:高龄肺癌患者的年龄≥65岁、合并心血管疾病史、术前心电图异常、术前心肺功能下降、全肺切除及手术时间延长术中失血等为术后心律失常的危险因素,采取一些预防措施可以减少其发生率。
Objective: To investigate the causes of arrhythmia after lung cancer surgery. Methods: 106 cases underwent lobectomy, of which 2 cases underwent pneumonectomy and 104 cases underwent lobectomy. The causes of postoperative arrhythmia were analyzed. Results: The incidence of postoperative arrhythmia was 30.18%. And age, past medical history, smoking history, preoperative cardiopulmonary function, operation mode, operation time, intraoperative bleeding, postoperative pain, lung infection and atelectasis and other factors. Conclusions: The age of patients with advanced lung cancer is more than 65 years old, with a history of cardiovascular disease, preoperative ECG abnormalities, preoperative cardiopulmonary function decline, pneumonectomy and operation time prolonged intraoperative blood loss and other risk factors for postoperative arrhythmia, take some Preventive measures can reduce their incidence.