Qaseem Amir, Snow Vincenza, Fitterman Nick, Hornbake E Rodney, Lawrence Valerie A, Smetana Gerald W, Weiss Kevin, Owens Douglas K, Aronson Mark, Barry Patricia, Casey Donald E, Cross J Thomas, Fitterman Nick, Sherif Katherine D, Weiss Kevin B
American College of Physicians, Philadelphia, Pennsylvania 19106, USA.
Ann Intern Med. 2006 Apr 18;144(8):575-80. doi: 10.7326/0003-4819-144-8-200604180-00008.
Postoperative pulmonary complications play an important role in the risk for patients undergoing noncardiothoracic surgery. Postoperative pulmonary complications are as prevalent as cardiac complications and contribute similarly to morbidity, mortality, and length of stay. Pulmonary complications may even be more likely than cardiac complications to predict long-term mortality after surgery. The purpose of this guideline is to provide guidance to clinicians on clinical and laboratory predictors of perioperative pulmonary risk before noncardiothoracic surgery. It also evaluates strategies to reduce the perioperative pulmonary risk and focuses on atelectasis, pneumonia, and respiratory failure. The target audience for this guideline is general internists or other clinicians involved in perioperative management of surgical patients. The target patient population is all adult persons undergoing noncardiothoracic surgery.
术后肺部并发症在非心胸外科手术患者的风险中起着重要作用。术后肺部并发症与心脏并发症一样普遍，对发病率、死亡率和住院时间的影响也相似。肺部并发症甚至可能比心脏并发症更能预测术后的长期死亡率。本指南的目的是为临床医生提供关于非心胸外科手术围手术期肺部风险的临床和实验室预测指标的指导。它还评估降低围手术期肺部风险的策略，并重点关注肺不张、肺炎和呼吸衰竭。本指南的目标受众是参与手术患者围手术期管理的普通内科医生或其他临床医生。目标患者群体是所有接受非心胸外科手术的成年人。
