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find Keyword "肺手术" 5 results
  • 肺部手术后急性呼吸衰竭的高危因素分析

    目的 采用Logistic回归分析肺手术后急性呼吸衰竭的高危因素,以利于临床应用. 方法 选取我院胸外科1991年3月~1998年12月肺手术后发生急性呼吸衰竭的59例患者(呼吸衰竭组)和未发生呼吸衰竭的279例患者(对照组)资料,相关因素数值化后,以Logistic回归得到最主要的高危因素. 结果 危险因素包括年龄、性别、肺功能、营养状况、吸烟指数、手术难易程度分级、合并症(慢性阻塞性肺病年数、功能障碍器官数、哮喘和毁损肺).结论 肺外科临床上必须针对以上因素,强调术前禁止吸烟、积极处理合并症、控制哮喘、加强围术期营养支持、呼吸锻炼和减少手术创伤,以减少急性呼吸衰竭的发生.

    Release date:2016-08-30 06:32 Export PDF Favorites Scan
  • Clinical Effect of Postoperative No Indwelling Urethral Catheters after Pulmonary Lobectomy: A Prospective Cohort Study

    ObjectiveTo evaluate the effect of postoperative no indwelling urethral catheters in lung operation. MethodsIn this prospective cohort study, we recruited 100 patients who were scheduled for pulmonary lobectomy under general anesthesia in a single institution of Thoracic Surgery Department in West China Hospital between April and December 2014. These patients were divided into two groups including a no indwelled urethral catheter group (NIUC, 50 patients) and an indwelled urethral catheter group (IUC, 50 patients). The clinical effect was compared between the two groups. ResultsThere was no statistical difference in incidence of postoperative urinary retention or urinary tract infection between the two groups (P=0.433, 0.050). However, the comfort degrees(0 degree) of patients in the NICU group was significantly higher than that of the ICU group with a statistical difference (P=0.002). While postoperative hospitalization time in the NICU group (P=0.023) was shorter than that in the ICU group (P=0.004). Prostatic hyperplasia was the high risk factor for the lung postoperative urinary retention (P=0.056). ConclusionPostoperative no indwelling urethral catheters in lung operation has the benefit of improving the comfort degrees of inpatients and increasing the postoperation urinary retention.

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  • Present Situation and Progression of Prolonged Air Leak after Pulmonary Resection

    Prolonged air leak (PAL) is one of the most common complication in patients underwent pulmonary resection. The prevention and treatment of PAL are important for the quick recovery of these patients. In this review, we summarized systematically four aspects of PAL including the clinical definition of PAL and influence factors, common risk factors and prediction model, prevention and perioperative management, and postoperative treatment.

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  • Influencing factors of postoperative cough after lung resection in patients with lung cancer by video-assisted thoracic surgery: a single centre prospective study

    Objective To explore the factors of postoperative cough in lung cancer patients. Methods Totally 130 lung cancer patients of single medical team (average age of 58.75±9.34 years, 65 males and 65 females), from February 2016 to February 2017 in the Department of Thoracic Surgery of West China Hospital of Sichuan University, were investigated by Mandarin Chinese version of the Leicester Cough Questionnaire (LCQ-MC). We analyzed and calculated the preoperative and postoperative scores of LCQ-MC, Cronbach α and the influencing factor. Results The preoperative score of LCQ-MC's physiological dimension was significantly lower in the postoperative cough group (6.30±0.76) than that of the postoperative non-cough group (6.56±0.60,P=0.044), while the preoperative total score of LCQ-MC (19.53±1.78, 20.03±1.45) was not statistically different (P=0.080). The postoperative score of LCQ-MC was significantly lower in the postoperative cough group (17.32±2.79) than that of the postoperative non-cough group (19.70±1.39,P<0.001). And the scores of physiological, psychological and social dimension were significantly lower in the postoperative cough group (5.32 ±1.14, 5.73±1.14, 6.23±0.89) than those of the postoperative non-cough group (6.25±0.63, 6.67±0.54, 6.78±0.49) (P values were all less than 0.001). The result of multi-factor logistic regression analysis showed the condition of preoperative cough symptom (OR=0.354, 95%CI=0.126–0.994, P=0.049) and anesthesia time (OR=1.021, 95% CI=1.003–1.040, P=0.021) were the risk factors. Conclusion The risk factors of postoperative cough symptoms in lung cancer patients are the condition of preoperative cough symptoms and anesthesia time.

    Release date:2017-09-26 03:48 Export PDF Favorites Scan
  • 单孔胸腔镜肺手术的扶镜体会与思考

    Release date:2018-11-27 04:47 Export PDF Favorites Scan
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