肺癌切除手术后非心源性肺水肿

Noncardiogenic Pulmonary Edema as a Complication following Lung Resection

对１９９０～１９９５年１６８例肺癌手术进行回顾性研究。有４例非心源性肺水肿，其发病率２．３８％。并发症组与非并发症组手术前心血管病情况、肺功能检查、血气分析的差异无显著性。肺水肿的病理生理变化不完全清楚，但与肺毛细血管静水压增高，肺泡毛细血管内皮通透性增加有关。

The occurrence of pulmonary edema was analysed in 168 patients who underwent lung resection in our hospital from 1990 to 1995.Pulmonary edema developed in 4 of 168 patients(2.38%).There were on significant differences in preoperative pulmonary function,blood gas analysis,or cardiovascular condition between patients with pulmonary edema or not.Postoperative fluid balance played an important role.The mechanism of pulmonary edema after lung resection remains undetermined. Two underlying processes are blieved to play a part, namely raised capillary hydrostatic pressure and increased capillary permeability.