Adebo O A
Department of Surgery, College of Medicine, University College Hospital, Ibadan, Nigeria.
East Afr Med J. 1990 Sep;67(9):603-8.
Twelve patients undergoing pneumonectomy for tuberculous destroyed lung were studied to determine the value of preoperative spirometry in the assessment of their pulmonary reserve, and prediction of their post-operative morbidity. Preoperatively, the functional losses were evidenced by mean values of FVC of 56.4%, FEV1 of 48.9% and PEFR of 65.8%--all expressed as percentage of predicted normals. No significant alteration occurred in pulmonary function post-pneumonectomy. All patients were in Class 1 (HYHA) pre- and post-operatively. It is concluded that operability in these patients cannot be based on spirometry alone but must include the preoperative assessment of clinical (symptomatic) stage and cardiovascular status.
对12例因结核性毁损肺而接受肺切除术的患者进行了研究，以确定术前肺活量测定在评估其肺储备及预测术后发病率方面的价值。术前，功能损失表现为：用力肺活量（FVC）平均值为预测正常值的56.4%，第一秒用力呼气容积（FEV1）为48.9%，呼气峰值流速（PEFR）为65.8%。肺切除术后肺功能未发生显著改变。所有患者术前和术后均为1级（纽约心脏协会分级）。得出的结论是，这些患者的可手术性不能仅基于肺活量测定，还必须包括术前对临床（症状性）分期和心血管状况的评估。
