煤工尘肺病人围手术期处理的探讨(附106例报告)

Management of patient with coal miner pneumoconiosis in perioperative stage

目的 探讨煤工尘肺病人围手术期处理的方法和意义。方法 对 10 6例煤工尘肺合并外科疾病者进行细致的围手术期处理。结果 10 6例煤工尘肺合并外科疾病需手术治疗者中的 86例进行了手术。与前三年没有实行严格围手术期 82例尘肺合并外科疾病需手术治疗的对照组患者比较 ,手术率提高了 40 % ,总死亡率下降了 2 0 % (均P <0 0 1)。结论 对煤工尘肺病人合并外科疾病需手术治疗时 ,严格实行围手术期处理 ,能明显提高手术率 。

ObjectiveTo probe into the methods and sig ni ficance of management of patient with coal miner pneumoconiosis in perioperative stage. Methods106 cases of coal miner pneumoconiosis with sur gical disease in perioperative stage were managed. ResultsAmon g 106 cases, 38 cases were in stage Ⅰ, 52 cases in stage Ⅱ and 16 cases in sta ge Ⅲ. According to Torrington and Henderson's risk factor and grade scheme, an d the pneumoconiosis stage, among 106 cases, 34 cases were classified as low risk, 52 cases were middle and 20 cases were high. All of those, 86 cases were operat ed, compared with the control group, the operation rate was increased to 40%, to tal mortality was decreased to 20%, P <0 01. ConclusionMana gement of coal miner pneumoconiosis with surgical disease strict in perioper ative stage might increase operation rate and decrease mortality.