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目的 根据不同肺癌肺切除术后肺功能改变的情况,了解肺癌肺切除术后肺功能的改变及处理。方法用日本minato AS600型肺功能仪测定81例肺癌患者的术前、术后通气功能。结果 术前肺功能状态,肺癌肺切除术范围及肺潜在代偿能力对术后肺功能影响极大。结论 全面估计疾病对肺功能影响,了解对侧肺功能的情况及全身状况,娴熟细心的手术技巧,恰当的麻醉处理等等,可减少或避免术后严重肺功能不全的发生,改善术后近期预后。
Objective To understand the changes and management of lung function after lung cancer lung resection according to the changes of lung function after lung cancer resection. Methods The preoperative and postoperative ventilatory function of 81 patients with lung cancer were determined by minato AS600 pulmonary function test instrument. Results Preoperative pulmonary function status, lung cancer resection scope and lung potential compensatory capacity had great influence on postoperative pulmonary function. Conclusions A comprehensive assessment of the effects of disease on lung function, understanding of contralateral lung function and general condition, skilled and careful surgical techniques, appropriate anesthesia, etc., can reduce or avoid the occurrence of severe postoperative pulmonary insufficiency and improve postoperative short-term Prognosis.