Ferguson M K
Department of Surgery, the University of Chicago, IL, USA.
Chest. 1999 May;115(5 Suppl):58S-63S. doi: 10.1378/chest.115.suppl_2.58s.
A summary of current modalities for and the utility of preoperative assessment of pulmonary risk.
Review of recent literature published in the English language.
Not applicable.
Patients who undergo elective cardiothoracic or abdominal operations.
Not applicable.
Postoperative pulmonary complications occur after 25 to 50% of major surgical procedures. The accuracy of the preoperative assessment of the risk of such complications is only fair. The routine assessment for all preoperative patients includes age, general physiologic status, and the nature of the planned operation. Specific tests such as measurement of spirometric values and diffusing capacity are indicated routinely only for patients who are candidates for major lung resection or esophagectomy.
Pulmonary complications are an important form of postoperative morbidity after major cardiothoracic and abdominal operations. The appropriate preoperative assessment of the risk of such complications is well defined for lung resection and esophagectomy operations, but it requires refinement for general surgical and cardiovascular operations.
总结目前肺部风险术前评估的方式及其效用。
回顾近期以英文发表的文献。
不适用。
接受择期心胸或腹部手术的患者。
不适用。
25%至50%的大型外科手术术后会发生肺部并发症。此类并发症风险术前评估的准确性一般。所有术前患者的常规评估包括年龄、一般生理状况以及计划手术的性质。仅对于拟行大型肺切除术或食管切除术的患者，常规进行肺活量测定值和弥散能力等特定检查。
肺部并发症是大型心胸和腹部手术后术后发病的重要形式。对于肺切除术和食管切除术，此类并发症风险的适当术前评估已明确，但对于普通外科手术和心血管手术，仍需完善。
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