Yang Yongbo, Chen Jun, Zhu Daxing, Chen Gang, Li Zhigang, Li Mei, Wei Sen, Qiu Xiaoming, Zhao Honglin, Liu Yi, Zhou Qinghua
Department of Lung Cancer Surgery, Tianjin Lung Cancer Institute, Tianjin Medical University General Hospital, Tianjian 300052, China.
Zhongguo Fei Ai Za Zhi. 2010 Mar;13(3):234-7. doi: 10.3779/j.issn.1009-3419.2010.03.09.
Atelectasis is a common complication after thoracotomy, and it may threaten patients' life if it was not treated correctly and properly. The aim of this article is to explore and discuss the prevention and treatment for atelectasis during the perioperative period, and also to explore new methods for reducing the perioperative mortality due to atelectasis after thoracotomy.
We retrospectively reviewed the medical records of 374 lung cancer patients who underwent thoracotomy in our department between Jan 2007 and Nov 2009.
Atelectasis occurred in 14 patients among all the 374 lung cancer patients who underwent thoracotomy. All the atelectasis returned to reexpansion after treatment.
The incidence of atelectasis in these series is relatively low compared with the reports in literatures. Good perioperative preparation and perioperative treatment can remarkably decrease the incidence and mortality of atelectasis after thoracotomy in the treatment of lung cancer.
肺不张是开胸术后常见的并发症，若未得到正确妥善的治疗，可能会威胁患者生命。本文旨在探讨和讨论围手术期肺不张的预防与治疗方法，同时探索降低开胸术后因肺不张导致的围手术期死亡率的新方法。
我们回顾性分析了2007年1月至2009年11月间在我科接受开胸手术的374例肺癌患者的病历。
在所有374例行开胸手术的肺癌患者中，有14例发生了肺不张。所有肺不张患者经治疗后均恢复复张。
与文献报道相比，本系列中肺不张的发生率相对较低。良好的围手术期准备和围手术期治疗可显著降低肺癌治疗中开胸术后肺不张的发生率和死亡率。
