合并呼吸功能不全病人肺功能评估及风险因素

Pulmonary function evaluation and risk factors in patients accompanied with respiratory insufficiency

应客观、正确评价合并呼吸功能不全病人的肺功能,充分估计手术风险,设计合理的手术方案,制定围手术期治疗措施,尽可能改善肺功能,以提高其对麻醉和手术的耐受性。肺功能评估主要包括呼吸功能检查及心肺储备功能检查。了解合并呼吸功能不全病人的相关风险因素,有助于判断术后肺部并发症的高危病人,利于选择恰当的检查方法及治疗措施,降低肺部并发症的发生率。

The incidence of postoperative pulmonary complications is still high in patients accompanied with respiratoy insufficiency, which is one of the important influence factors on prognosis. A correct objective evaluation of pulmonary function should be given to patients accompanied with respiratory insufficiency, combined with adequately estimating the risk of operation, designing reasonable surgery scheme, drawing up perioperative therapy. The respiratory function should be improved as far as possible to enhance the surgical and anesthetic tolerance of the patients. Recent evaluation of pulmonary function includes respiratory function examination and cardiopulmonary functional reserve examination. Understanding risk factors in patients accompanied with respiratory insufficiency can help to diagnose high risk patients with postoperative puhnonary complications. Correct examination and treatment should bc chosen to reduce tile puhnonary complications.