老年心脏患者肺切除术的危险因素探讨

The Analysis of High Risk Factors of Lung Surgery among Elderly Patients

目的 探讨老年心脏患者施行肺切除手术时围手术期的危险因素及临床处理。方法 对 6 5岁以上 10 6例心脏病患者施行各种方式的肺切除手术 ,观察危及其生命体征的各种危险因素及针对这些因素进行积极治疗后的临床效果。结果 观察到这些危险因素中属于心源性的有严重心律失常等 6项 ,属于非心源性的有肺功能代偿不全等 3项。经积极处理后有 5例死亡 ,病死率 4 .7%。结论 麻醉和手术本身并不构成危险因素。对于可控性危险因素积极处理后 。

Objective:To explore the high risk factors of lung surgery among elderly patients. Methods One hundred and six patients (aged 65 or above) who had lung resection were included for the study. The data included possible risk factors such as the observation of severe arrhythmia and pulmonary function failure. The evaluation of therapeutic effects on the treatment of these factors was also made. Results Among all patients, only 5 died after operation with the mortality rate of 4.7%. Conclusion Severe arrhythmia and poor pulmonary function represent the high risk factors on elderly patients who had lung surgery. Anesthesia and pneumonectomy are not the high risk factors. With proper management of patients with controllable risk factors, elderly patients could be safe in the lung operation.