摘要
目的 :探讨肺癌病人术后心律失常的原因及防治措施 .方法 :观察术后心律失常的发生与病人年龄、术前心电图改变、肺通气功能及肺切除范围的关系 .结果 :3 2 8例肺癌病人术后心律失常发生率为1 8 9% ,年龄 60岁以上 ,术前心电图改变 ,肺通气功能不全及全肺切除术后心律失常发生率分别为 2 5 9% ,2 6 6% ,3 1 5 % .结论 :术前积极治疗心脏原发病 ,纠正低氧 ,严格掌握全肺切除适应症 ,术后吸氧 ,雾化吸入预防肺部炎症是防止发生心律失常的根本措施 ;控制心室率 ,恢复并维持窦性心律是治疗的关键 .
Objective:To explore the reasons,the preventions and the treatment for the cardiac arrhythmia after the lung cancer operation.Methods:To observe the relation between cardiac arrhythmia after lung cancer operations and the change of pre-operation EKG,pulmonary function and the range of lung excision.Results:For 328 lung cancer patients over 60 years old,the post-operation cardiac arrhythmia occupied 18.9% of all the cases;the change of pre-operation EKG,25.9%;the lung mal-ventilation,26.6%;and the total pneumonectomy,31.5%.Conclusions:The following are fundamental preventions for pre-operation treatment of cardiac diseases,correction of blood oxygen,strict indications of total pneumonectomy,oxygen inhalation after operations and immediate active treatments of post-operation lung complications.
出处
《昆明医学院学报》
2004年第2期98-99,126,共3页
Journal of Kunming Medical College
关键词
肺癌
术后
心律失常
外科手术
Lung cancer
Operations
Cardiac arrhythmia
