开胸术后呼吸衰竭2 6例临床分析

目的:探讨开胸术后呼吸衰竭的发病原因、临床特点及有效的预防、治疗方法.方法:对本院1993年1月～1999年4月开胸术后并发呼吸衰竭的发病情况及其治疗结果进行统计分析.结果:术前心肺功能异常、麻醉、手术创伤、感染、术后出血等为术后呼吸衰竭的主要原因,其发生率为3.56%(26/730),死亡率为23.1%(6/26).结论:加强围手术期呼吸道管理,减轻手术创伤,预防和正确处理术后并发症是防止呼吸衰竭的关键,及时有效的机械通气是抢救成功的最有效手段.

Analysis of Twenty-six cases of respiratory failure after thoracotomy

Objective:To investigate the cause, clinical characteristic and effective preventive and therapeutic methods for postoperative respiratory failure. Methods:Statistic analysis was made in 26 cases of postoperative respiratory failure who underwent treatment during the period from Jun. 1993 to Apr. 1999. Results:Preoperative abnormality of heart and lung function, anaesthetic and operative trauma, postoperative infection and hemorrhage were the main causes of postoperative respiratory failure, The incidence rate was 3.56%(26/730) and the mortality rate was 23.1%(6/26). Conclusion:The key points for preventing this complication were intensive preoperative respiratory care, minimizing operative trauma, prevention and adequate management of other complications, The most effective treatment was mechanic ventilation.