Clinical analysis on complicated arrhythmia after 104 cases lung resection

ZHANG Liping; et al

doi:10.13406/j.cnki.cyxb.2003.05.025

您当前的位置：

首页 >

文章列表页 >

Clinical analysis on complicated arrhythmia after 104 cases lung resection

更新时间：2024-01-17

- Clinical analysis on complicated arrhythmia after 104 cases lung resection
- Journal of Chongqing Medical University Issue 5, Pages: 631-632(2003)
- 作者机构：
  
  1. 重庆医科大学第二临床学院胸外科
  2. 重庆医科大学第二临床学院胸外科,重庆,400010
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2003.05.025
  CLC： R655.3
- Published：2003，
扫描看全文
[1]张力平,朱冰.肺切除术后并发心律失常104例临床分析[J].重庆医科大学学报,2003(05):631-632+655.

ZHANG Liping, et al. Clinical analysis on complicated arrhythmia after 104 cases lung resection. [J]. Journal of Chongqing Medical University (5):631-632(2003)
[1]张力平,朱冰.肺切除术后并发心律失常104例临床分析[J].重庆医科大学学报,2003(05):631-632+655. DOI： 10.13406/j.cnki.cyxb.2003.05.025.

ZHANG Liping, et al. Clinical analysis on complicated arrhythmia after 104 cases lung resection. [J]. Journal of Chongqing Medical University (5):631-632(2003) DOI： 10.13406/j.cnki.cyxb.2003.05.025.

摘要

目的 :探讨肺切除术后并发心律失常的原因。方法 :5 6 2例肺切除术后发生心律失常与年龄、术式、术前肺功能检测、术后血气分析的影响。结果 :5 6 2例术后并发心律失常 10 4例（18.5 % ）

年龄大于 70岁

全肺切除术分别占 38.77%及2 7.72 %。FEV1<5 0 %

MVV <5 0 %

FVC <5 0 %分别占 6 7.2 7%、4 6 .5 3%及 6 7.93%。术后 2 3例血气分析PO2 <6 0mmHg

CO2 >4 5mmHg

SO2 <0 .96

2 1例发生心律失常。后经气管切开

积极纠正缺氧

3天内心律失常消失。本组死亡 4例（3.84 % ）。结论 :全肺切除

大于 70岁

FEV1、MVV及FVC <5 0 %

明显缺氧易诱发心律失常。

Abstract

Objective:To analyze the reasons of complicated arrhythmia after resection of lung. Methods:The relation of arrhythmia with age

operation mode

preoperative lung function and postoperative blood gas of 562 cases of lung resection were analyzed. Results:There were 104 of 562 cases (18.5%) complicated with arrhythmia postoperatively. 38.77% of them were older than 70 years. 27.72% had operation of pneumonectomy.The parameters of FEV 1

MVV

FVC lower than 50% were 67.24%

46.53% and 67.93% respectively.Postoperative blood gas analysis of the 23 cases showed that Po 2 was lower than 60 mmHg

Pco 2 was higher than 45 mmHg

So 2 was lower than 96%.21 of them developed postoperative arrhythmia.After tracheotomy and immediately correcting anoxia

all the 21 patients recovered from arrhythmia within 3 days.4 patients died in this group(3.84%).Conclusion:Pneumonectomy

in patients older than 70

results in the parameters of FEV 1

MVV and FVC lower than 50%.Significant anoxia is the cause of arrhythmia.

关键词

肺切除术心律失常

Keywords

Resection of lungarrhythmia

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

THE MYOCARDIAC HISTOPATHOLOGY IN THE PATIENTS WITH SEVERE ARRHYTHMIAS

Good and bad of using twelve lead AECG and three lead AECG

Related Author

张佐才

饶邦复

DEND Guo-lan

et al

李骊华

罗素新

Related Institution

重庆医科大学法医学教研室

重庆医科大学第一医院内科

重庆医科大学法医学教研室重庆医科大学第一医院内科

Department of Cardiology,The First Affiliated Hospital,Chongqing Medical University

⁰