心脏外科术后长时间机械通气危险因素的研究进展

Progress of risk factor evaluation for prolonged mechanical ventilation after cardiac surgery

心脏外科手术恢复受多种因素影响,包括术前、术中及术后因素。机械通气时间延长是心脏外科术后主要不良后果之一,它已被广泛接受作为衡量心脏外科手术质量的指标。近年来对心脏外科术后机械通气时间延长的危险因素的研究较多,然而,目前尚无明确有效的措施和手段来预防机械通气时间延长。本文对心脏外科手术围手术期机械通气时间延长的影响因素及干预手段予以总结。

Post operational recovery from cardiac surgery can be affected by many factors,including preoperative, intraoperative,and postoperative factors.Prolonged mechanical ventilation(PMV),one of the major complications,has been widely accepted as a measure to evaluate the performance and outcomes of cardiac surgeries.Great progress has been made in the studies of risk factors contributing to PMV following cardiac surgeries in recent years.However,no clear and effective measures and approaches are available yet to prevent PMV.In this review,the authors try to summarize the risk factors that are associated with PMV throughout the perioperative period of cardiac surgery,as well as possible interventions when applicable.