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目的探讨肺癌术前肺功能的异常指标,为临床提供参考。方法日本捷斯特8800大型肺功能测定仪,测定105例肺癌患者的术前肺功能指标。结果 l05例肺癌患者肺功能全部异常,其中阻塞性通气功能障6例(5.71%),限制性通气功能障碍32倒(30.47%),混合性通气功能障碍5例(4.76%),小气道阻塞性通气功能障碍62例(59.04%),影响肺功能异常的因素有既往肺部病变及吸烟等。结论肺癌术前肺功能异常中,以小气道阻塞性通气功能障碍为多见,提供了肺功能异常的早期诊断指标,为临床术前决定手术方式,手术切除范围,麻醉措施,减少并发症提供依据,是我们深入研究肺功能异常的禁忌症的指标的基础。
Objective To investigate the abnormal indexes of lung function before operation in lung cancer and provide reference for clinical practice. Methods Japan Jieste 8800 large pulmonary function tester, determination of 105 cases of lung cancer patients with preoperative pulmonary function. Results All of lung function in 105 patients with lung cancer were abnormal, including 6 cases (5.71%) with obstructive ventilatory function, 32 (30.47%) with restrictive ventilatory dysfunction, 5 (4.76%) with mixed ventilatory dysfunction, small airway obstruction 62 cases (59.04%) of sexual ventilation dysfunction, factors affecting pulmonary dysfunction with previous lung disease and smoking. Conclusion Preoperative pulmonary dysfunction in lung cancer is more common in small airway obstructive ventilatory dysfunction, which provides an early diagnostic indicator of lung dysfunction. It provides a preoperative decision on the surgical method, surgical resection range, anesthesia and complications Basis is the basis for our in-depth study of the indicators of contraindications to pulmonary dysfunction.