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目的分析肺癌患者手术后发生呼吸衰竭(RI)的常见危险因素。方法 325例ICU内接受监护与治疗的肺癌术后患者,对其进行发生RI常见易患因素调查,并按有无发生RI进行分组比较。结果 325例肺癌术后发生RI患者104例,发生率32.0%。术后发生RI组患者的平均年龄、吸烟指数、慢性阻塞性肺疾病(COPD)史、心血管疾病史、术前肺功能异常例数、全肺切除例数、手术时间、术中补液量及术后感染例数均显著多于术后未发生RI组,差异均具有统计学意义(P<0.05)。结论高龄、吸烟指数高、COPD及心血管疾病史、术前肺功能异常、全肺切除、手术时间长、术中补液量及术后感染患者更容易发生术后RI。
Objective To analyze the common risk factors of respiratory failure (RI) after lung cancer surgery. Methods A total of 325 patients with lung cancer undergoing custody and treatment within the ICU were enrolled in this study. RI common risk factors were investigated and grouped according to presence or absence of RI. Results A total of 104 RI patients were detected in 325 patients with lung cancer, the incidence of which was 32.0%. The average age, smoking index, history of chronic obstructive pulmonary disease (COPD), history of cardiovascular disease, number of preoperative pulmonary function abnormalities, number of pneumonectomy cases, operation time, intraoperative fluid volume, postoperative RI group, The number of postoperative infections were significantly more than those without postoperative RI, the differences were statistically significant (P <0.05). Conclusions Older age, high smoking index, history of COPD and cardiovascular diseases, preoperative pulmonary dysfunction, pneumonectomy, long operation time, intraoperative fluid volume and postoperative infection are more likely to occur after operation.