PREOPERATIVE PULMONARY-FUNCTION AND COMPLICATIONS AFTER CARDIOVASCULAR-SURGERY
PREOPERATIVE PULMONARY-FUNCTION AND COMPLICATIONS AFTER CARDIOVASCULAR-SURGERY
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DOI：
10.1378/chest.76.2.130
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发表时间：
1979-01-01
期刊：
影响因子：
9.6
通讯作者：
ADANIYA, R
中科院分区：
文献类型：
--
作者：
CAIN, HD;STEVENS, PM;ADANIYA, R
本文对106例接受胸部或上腹部心血管手术的患者进行了术前肺功能检查。这些结果与ICU[重症监护病房]住院< 5天的患者与ICU住院< 5天的患者的肺功能数据的术后并发症发生率有关。对肺功能测试的几个特定参数的定量分析未能揭示中度和重度术前功能障碍患者术后并发症发生率的任何差异。肺不张的发生与心血管手术类型有关，而与术前肺功能检查无关。肺功能检查异常不是术前使用呼吸治疗的主要决定因素，其使用与术后在ICU的住院时间无关。在心血管手术之前，临床明显肺功能障碍的常规定量对预测术后发病率的价值不大，而且远不如仔细的临床评估重要。当对此类患者进行肺功能检查时，简单的肺活量测定和动脉血气水平就足够了。
Results of preoperative pulmonary function tests were evaluated in 106 patients who had major thoracic or upper abdominal cardiovascular surgery. These results were related to the occurrence of postoperative complications compared to pulmonary function data in patients with an ICU [intensive care unit] stay of < 5 days vs. patients with an ICU stay of > 5 days. Quantitative analysis of several specific parameters of pulmonary function tests failed to reveal any difference in the incidence of postoperative complications between patients with modest vs. severe preoperative dysfunction. The occurrence of atelectasis was related to type of cardiovascular surgical procedure, but not to preoperative pulmonary function tests. Abnormalities on pulmonary function tests were not the major determinants of preoperative respiratory therapy use, and its use was unrelated to the length of stay postoperatively in the ICU. Prior to cardiovascular surgery, routine quantitation of clinically apparent pulmonary dysfunction have little value in predicting postoperative morbidity and much less important than careful clinical evaluation. When pulmonary function tests are performed in such patients, simple spirometric tests and arterial blood gas levels are adequate.