老年腹部手术前呼吸功能与术后肺并发症

Preoperative pulmonary function and postoperative respiratory complications after abdominal surgery in aged patients

目的 前瞻性分析老年患者腹部手术前肺功能测定的临床意义。方法 应用自动体容积肺功能描绘仪和脉冲振荡肺功能测定仪 ,于手术前测定 5 2例老年腹部手术患者各项肺功能指标 ,并结合临床观察统计手术后肺并发症 (PPC)。结果 本组老年患者PPC的发生率为 1 9.2 3 %。 1 3例术前存在肺功能异常的患者中 ,3例出现PPC ,另外 3 9例肺功能正常的老年患者中 ,有 7例出现PPC ,两组间无统计学差异 (P >0 .0 5 )。结论 老年患者腹部手术前肺功能检查仅用于评价老年患者对手术的耐受性 ,不能预测PPC的发生。

Objective To analyze prospectively the pulmonary function and postoperative respiratory complications after abdominal surgery in aged patients. Methods With automatic volumetric graph and impulse oscillometry of pulmonary function in association with clinical signs, pulmonary functions data in 52 aged patients before abdominal surgery were recorded.Results The overall respiratory complication rate was 19.23%. The postopertive pulmonary complications were encountered only in 3/13 patients with preoperative abnormal pulmonary function and in 7/39 patients with normal pulmonary function. No statistically significant difference had been note in the above two series ( P >0.05). Conclusion Preoperative pulmonary function tests have no significance in predicting postoperative pulmonary complications after abdominal sugery in our series. (Shanghai Med J, 2000,23∶157 159)