Clerdain A M, Baccus C, Brichant J F, Deflandre E, Degey S, Hans P
Departement d'Anesthésie-Réanimation, CHU de Liege, Belgique.
Rev Med Liege. 2010 Jul-Aug;65(7-8):442-7.
Thirty percent of surgical patients undergoing routine surgery are smokers, and smoking is an additional risk for these patients. During the perioperative period, smokers are more prone than non smokers to present either systemic complications interesting the cardiovascular and pulmonary functions or specific complications related to the surgical procedure, such as infections, wound problems and delayed osteosynthesis. Therefore, coming-off from smoking addiction is an obvious prerequisite in these patients. Diagnosing smoking habit, evaluating its severity and its systemic repercussions on vital functions, as well as proposing an efficacious and appropriate help to smokers before surgery become one essential objective of pre-anesthetic assessment.
接受常规手术的外科患者中有30%是吸烟者，吸烟对这些患者来说是额外的风险。在围手术期，吸烟者比不吸烟者更容易出现影响心血管和肺功能的全身并发症或与手术相关的特定并发症，如感染、伤口问题和骨愈合延迟。因此，戒除烟瘾对这些患者来说是一个明显的先决条件。诊断吸烟习惯、评估其严重程度及其对重要功能的全身影响，以及在手术前为吸烟者提供有效且合适的帮助，成为麻醉前评估的一个重要目标。
