231例肺癌患者术后并发症原因分析

Clinical analysis of 231 lung cancer cases with postoperative complications

目的探讨肺癌病人的术后并发症原因及处理方法。方法回顾性分析231例肺癌患者实施手术治疗后并发症的发生情况。结果术后早期并发症有肺部感染78例,胸腔积液46例,出血5例,心律失常12例,心功能不全10例,肺不张13例,切口感染41例。晚期并发症有支气管胸膜瘘17例,慢性脓胸11例。结论术前积极准备、治疗合并症、严格戒烟、必要时予以支气管镜吸痰,术中轻柔、仔细、缩短手术时间,减少对肺组织的刺激是降低术后并发症的关键。

Objective To explore the reasons and the effective measures to the complication after operation of lung cancer patients.Methods The complication after operation of 231 patients suffered form lung cancer from January 2002 to April 2009 analyzed.Results The early complication after operation including：78 pneumonia cases,46 pleural effusion cases,5 bleeding cases,12 cardiac arrhythmia cases,10 cardiac insufficiency cases,13 atelectasis cases,17 leakage chest tube drainage cases,41 incision infection cases;The lately complication after operation including：17 bronchopleural fistula cases,11 chronic empyema cases,8 incision ache case.Conclusion The critical factors to prevent complication after operation including：the ample preoperative preparation,treatment to the complication,giving up smoking,tracheal aspiration,the gentle and careful operation,shortening the operation time and reducing the stimulation during the operation.