查詢結果分析
相關文獻
- Relationship of Carbon Monoxide Pulmonary Diffusing Capacity to Postoperative Cardiopulmonary Complications in Patients Undergoing Pneumonectomy
- Relationship of Predicted Postoperative Product to Postpneumonectomy Cardiopulmonary Complications
- Epiglottic Hematoma Secondary to Endotracheal Intubation
- Unexpected Transurethral Resection of Prostate Syndrome Complicated with Acute Myocardial Infarction during Transurethral Incision Procedure--A Case Report
- Postoperative Myocardial Infarction in a Patient with Perioperative ST-Depression--A Case Report
- Postoperative Right Atrial and Pulmonary Embolism after Prolonged Spinal Surgery
- Unilateral Vocal Cord Paralysis Following Endotracheal Intubation--A Case Report
- 開發異斷面人造纖維布種之傳水性質評估
- Postoperative Pulmonary Edema after Cervical Spine Surgery--A Case Report
- 發生於手術後之抗精神病藥物惡性症候群--一例報告
頁籤選單縮合
題 名 | Relationship of Carbon Monoxide Pulmonary Diffusing Capacity to Postoperative Cardiopulmonary Complications in Patients Undergoing Pneumonectomy=肺部一氧化碳擴散能力和全肺切除術後心肺併發症的關係 |
---|---|
作 者 | 王正信; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 19:9 2003.09[民92.09] |
頁 次 | 頁437-446 |
分類號 | 416.224 |
關鍵詞 | 擴散能力; 術後併發症; 術前評估; Diffusing capacity; Postoperative complications; Preoperative assessment; |
語 文 | 英文(English) |
中文摘要 | 本篇回溯研究主要評估一氧化碳擴散能力預測全肺切除術後心肺併發症的發生。從 1992 年1 月到 1997 年 12 月期間,共有 151 位因肺癌至加拿大溫哥華總醫院接受全肺切除術的患者。肺功能檢查完全根據標準技術在肺功能室進行,術後 30 天內的併發症分類為死亡、心血管、肺部和技術併發症。151 位患者中,男性 100 位(66%)、女性 51 位(34%)平均年齡 61 歲。有 73 位(48%)發生併發症,其中死亡 8 位(5%);心血管併發症 50 位(33%)肺部併發症 30 位(20%)和技術併發症 22 位(15%)。兩個主要心血管併發症為心律不整和肺水腫,發生率分別為 21% 及 13%,而有併發症的患者比無併發症的患者吸煙較多、住院較長、FEV1 較低、FEV1/FVC 較低、DLCO 較低、DLCO/VA較低。DLCO 在預估值 70% 為術後心肺併發症最佳預測指標,患者若 DLCO 預估值低於 70%,併發症發生率為 94%,相對的,患者若 DLCO 預估值高於 70%,併發症發生率為 27%(敏感性為 62%,特異性為 96%)。但是技術併發症和術前肺功能變數包括 DLCO 均不相關,患者若 DLCO 預估值高於 70%,則全肺切除術後心肺併發症發生率較低,雖然心律不整是併發症的主要原因,肺水腫卻是死亡的主要原因。 |
英文摘要 | This retrospective analytic study evaluated whether abnormal diffusing capacity for carbon monoxide (DLCO) is a predictor of postoperative morbidity and mortality in patients undergoing pneumonectomy for lung cancer. The medical records of patients undergoing pneumonectomy at Vancouver General Hospital between January 1992 and December 1997 were reviewed. Postoperative complications occurring within 30 days of resection were classified into mortality, and cardiovascular, pulmonary, and technical complications. A total of 151 pneumonectomy cases were reviewed. There were 100 men (66%) and 51 women (34%) with a mean age of 61 years. Complications occurred in 73 patients (48%), including mortality in eight (5%), cardiovascular morbidity in 50 (33%), pulmonary morbidity in 30 (20%), and technical morbidity in 22 (15%). Arrhythmia (21%) and pulmonary edema (13%) were the two major cardiovascular complications. Patients with complications had a greater smoking history, a longer hospital stay, a lower forced expiratory volume in 1 second (FEV1), a lower FEV1/forced vital capacity (FVC) ratio, a lower DLCO, and a lower DLCO/alveolar volume (VA) ratio than patients without complications. A DLCO of 70% predicted was the best functional predictor of postoperative complications, with a complication rate of 94% in patients with a DLCO of less than 70% predicted compared with 27% in patients with a DLCO of at least 70% predicted (sensitivity, 62%; specificity, 96%). However, technical morbidity was not related to preoperative lung function variables, including DLCO. Patients with a DLCO of at least 70% predicted had a low postpneumonectomy complication rate. Although cardiac arrhythmia was the major cause of morbidity, pulmonary edema was the major cause of mortality. |
本系統中英文摘要資訊取自各篇刊載內容。