摘要
目的探讨肺癌术后呼吸衰竭的原因、预防及治疗。方法对我院2002年1月—2006年10月肺癌术后发生呼吸衰竭的20例患者均进行了机械通气治疗,17例行气管切开术。结果术后呼吸衰竭发生率4.9%(20/412),死亡率20.0%(4/20)。结论呼吸道感染、手术创伤、伤口疼痛刺激、术前心肺功能异常等是引起术后呼吸衰竭的主要原因。尽早诊断、及时行气管切开术并给予机械通气是抢救成功的最有效手段,加强围术期呼吸道管理、避免手术并发症是预防术后呼吸衰竭的关键。
Objective To explore the reasons, prevention and treatment measures for postoperative respiratory failure in tung cancer patients. Methods Mechanical ventilation was given to 20 1ung cancer patients with postoperative respiratory failure in our hospital from January 2002 to October 2006, and 17 of them received tracheotomy. Results The incidence of postoperative respir- atory failure was 4.9% （20/412）. Out of the 20 ones with respiratory failure, four died （20.0%）. Conclusion The major reasons for postoperative respiratory failure consists of respiratory tract infection, operative wound, incision pain, abnormal preoperative cardiopulmonary function, etc. Correct diagnosis, tracheotomy as early as possible, and mechanical ventilation are the most efficient ways to save their lives. Strengthening management on respiratory tract in peri-operative period and avoiding postoperative complications act as the keys to preventing postoperative respiratory failure.
出处
《临床军医杂志》
CAS
2007年第2期212-213,共2页
Clinical Journal of Medical Officers
关键词
肺肿瘤
呼吸衰竭
机械通气
lung neoplasm
respiratory failure
mechanical ventilation
