全肺切除术84例临床体会

目的：探讨术前肺功能评价与老年患者行全肺切除术后并发症及死亡率的相关性。方法：对84例60岁以上行全肺切除术患者，术前测定VC％、MVV％、FEVl％、DLCO％、屏气试验、血气分析，并与术后相关指标进行对比分析。结果：术后较严重并发症12例，死亡2例。无并发症组与并发症及死亡组术前肺功能指标有显著性差异的是FEVl％、DLCO％和屏气时间。当MVV％〈60％、FEVl〈50％、DLCO％〈50％、屏气时间〈30s时，全肺切除术后风险明显增高。结论：全肺切除可提高肺癌切除率，预后好且减少了剖胸探查率，提高了生存率。

Experience of pneumonectomy in treatment of lung cancer reports of 84 cases

Objects： Including to discuss the relationship of preoperative pulmonany＇functionin assessment and postoperative com- plication and mortality in pneumonectomy of the patients older than sixty. Methods We reviewed our experience with 42 patients older than sixty who underwent pneumonectomy. Preoperative pulmonany functionin assessment including MVV%, FEVI%, DLCO%, hold breath test and arterial blood gas analysis were observed. The patients with no post operative complication and the patients with major [~）st operative complications or mortalities were compared. Results There were 12 patients sufferd major post operative complica- tions and 2 cases dead. FEVI%, DLCO% and hold breath test were significantly different from fhat of the patients with no post opera- tive complication. When MVV% 〈60%, FEV1 〈50%, DLCO% 〈50% and hold breath time 〈30s, the major post operative com- plications or mortalities were increase. [ Conclusion] The resection rate of lung cancer can increased by pneumonectomy, its progno- sis was good, and decreased the rate of simple exploratory thoracotomv.