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目的 :探讨肺癌患者肺叶切除术后心脑并发症的风险因素 ,提高诊断治疗水平。方法 :回顾性分析 2 5 9例肺癌患者肺叶切除术的临床资料。结果 :术后发生心脑并发症的 11例 (4.2 % ) ,共计 13次 (其中 1例术后发生心、脑并发症共 3次 ) ;年龄、术前合并症 (高血压或冠心病等 )、术前肺功能、术中低血压是肺癌患者肺叶切除术后心脑并发症发生的主要危险因素 (P <0 .0 5 )。结论 :提高对肺癌患者肺叶切除术后心脑并发症的认识 ,加强防治措施 ,可以将肺叶切除术后心脑并发症的发生降低到最低限度。
Objective: To investigate the risk factors of cardio-cerebral complications after lobectomy in patients with lung cancer and to improve the level of diagnosis and treatment. Methods: A retrospective analysis of 259 cases of lung cancer patients with lobectomy clinical data. Results: Eleven patients (4.2%) had postoperative cardiocerebral complications, a total of 13 times (1 of them had cardiac or cerebral complications 3 times after operation), age, preoperative complications (such as hypertension or coronary heart disease ), Preoperative pulmonary function, and intraoperative hypotension were the main risk factors of cardio-cerebral complications after lobectomy in patients with lung cancer (P <0.05). Conclusion: To improve the cognition of cardio-cerebral complications after lobectomy in patients with lung cancer and to strengthen prevention and control measures, the occurrence of cardio-cerebral complications after lobectomy can be reduced to a minimum.