主动脉弓动脉瘤术后肺部并发症的预防及治疗

Pulmonary Injury after Aortic Arch Aneurysm Operation

目的：探讨主动脉弓动脉瘤患者术后肺部并发症的预防及治疗。方法：总结42例主动脉弓动脉瘤患者手术后发生肺部并发症 的情况，分析其原因及治疗效果，并与42例升主动脉及主动脉瓣置换术(Bentall 术)患者进行比较。结果：42例主动脉弓动脉瘤患者， 术后出现肺部并发症12例，其中单纯肺部并发症7例，同时并发其它脏器病变5例。经过治疗，绝大多数患者情况改善，其中37例 康复出院，5例死亡，死亡率11． 9%。结论：降低主动脉弓动脉瘤患者术后肺部并发症发生率及死亡率，主要在于对术前高危因素的重 视及术中、术后积极的防治措施。

Objective：To study the pulmonary injury after aortic arch aneurysm operation and methods of prevention and treatment. Methods：42 patients with aortic arch aneurysm operation,compared with 42 patients with Bentall operation. Results： Many risk factors can cause pulmonary injury after aortic arch aneurysm operation. 12 patients had pulmonary injury, 5 deaths, hospital mortality rate was 11.9%. Conclusion：To reduce the morbidity and mortality rate of postoperative pulmonary injury,great attention needs to be paid both to the risk factors preoperation and proper treatment.