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