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肺部切除手术使未发生转移的肺癌患者有了长期生存的希望,但由于病人常合并慢性气道阻塞,增加了手术危险性,使其术后易发生心肺并发症。所以,如能准确预测术后通气功能变化将有助于确定病人可否接受手术。为此,作者对55例疑有肺部恶性肿瘤而需手术切除病人的肺功能和运动容量在术前及术后第3和第12个月进行了测定。55例中单侧全肺切除者18例,肺叶切除29例,胸廓打开而未行肺切除者6例,2例因肺功能严重受损未行手术。53例中术后发生心肺并发症者有16例(8例为单侧肺切除,7例为肺叶切除,1例胸廓打开未行肺
Pulmonary resection has made lung cancer patients without metastasis have a long-term survival prospects, but because patients often associated with chronic airway obstruction, increase the risk of surgery, making it prone to heart and lung complications. Therefore, accurate prediction of changes in postoperative ventilatory function will help determine whether the patient can undergo surgery. To this end, the authors determined the lung function and exercise capacity of 55 patients with suspected lung malignancy requiring surgical resection before and 3 and 12 months after surgery. Among the 55 patients, 18 patients underwent unilateral pneumonectomy, 29 underwent lobectomy, 6 underwent thoracotomy without pneumonectomy, and 2 underwent no surgery because of severe pulmonary function impairment. There were 16 cases of cardiopulmonary complications in 53 cases (8 cases were unilateral pneumonectomy, 7 cases were lobectomy, and 1 case was open without thorax