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首页> 外文期刊>Revista da Associao Médica Brasileira >Thoracic surgery: risk factors for postoperative complications of lung resection
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Thoracic surgery: risk factors for postoperative complications of lung resection

机译：胸外科：肺切除术后并发症的危险因素

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OBJECTIVE: To identify preoperative and transoperative risks factors for postoperative complications developed in lung resection surgery. METHODS: During 14 months; 189 patients underwent pulmonary resection and were enrolled to the study. After a clinical interview, patients were evaluated by laboratory, pulmonary function tests and radiography, submitted to a surgical procedure, and were followed during their stay in the ICU and hospital, evaluating postoperatory complications and death. RESULTS: The postoperative rate of complications was 52.9%: respiratory (34.3%), infectious (31%), and cardiovascular (21.4%). Respiratory complications were related to smoking (p < 0.01, RR 2.31), airway obstruction by spirometry (p = 0.01, RR 2.60), presence of anemia (p < 0.01, RR 2.13), and prolonged protrombine time [PT] (p = 0.03, RR 1.77). Infection complications were related to smoking (p < 0.01, RR 2.69), airway obstruction by spirometry (p = 0.01, RR 3.31), presence of anemia (p < 0.01, RR 2.10), and prolonged PT (p = 0.03, RR 2.29). Cardiovascular problems were related with older age (p < 0.01, RR 2.66), cigarette smoking (p < 0.01, RR 4.55), and hypoxemia (p = 0.03, RR 2.43). The postoperative mortality rate was 7.1%. CONCLUSION: A preoperative evaluation can provide a suitable and safe postoperative prediction of complications in patients submitted to lung resection. Patients with COPD, hypoxemic, older, and anemic patients must be classified as high-risk for developing these complications.
机译：目的：确定在肺切除手术中发展为术后并发症的术前和术中危险因素。方法：在14个月内; 189例患者接受了肺切除术，并被纳入研究。经过临床面试后，对患者进行实验室，肺功能检查和X线摄影评估，并进行外科手术，并留在ICU和医院期间进行随访，评估术后并发症和死亡情况。结果：术后并发症发生率为52.9％：呼吸系统疾病（34.3％），传染性疾病（31％）和心血管疾病（21.4％）。呼吸系统并发症与吸烟（p <0.01，RR 2.31），肺活量测定法引起的气道阻塞（p = 0.01，RR 2.60），贫血的存在（p <0.01，RR 2.13）和延长的Proprombine时间[PT]（p = 0.03，RR 1.77）。感染并发症与吸烟（p <0.01，RR 2.69），肺活量测定法气道阻塞（p = 0.01，RR 3.31），贫血的存在（p <0.01，RR 2.10）和PT延长（p = 0.03，RR 2.29）有关。 ）。心血管问题与年龄较大（p <0.01，RR 2.66），吸烟（p <0.01，RR 4.55）和低氧血症（p = 0.03，RR 2.43）有关。术后死亡率为7.1％。结论：术前评估可以为肺切除术患者的并发症提供合适，安全的术后预测。 COPD患者，低氧血症，老年患者和贫血患者必须归为发生这些并发症的高危人群。

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