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[肺减容干预对术后即刻肺功能的影响及其通过各种镇痛方式的改善]

[The effect of lung diminishing interventions on immediate postoperative lung function and their modification by various forms of analgesia].

作者信息

Horch R, Krönung G, Westhofen P, Giebel G D

机构信息

Chirurgische Universitätsklinik und Poliklinik Bonn/BRD.

出版信息

Z Erkr Atmungsorgane. 1990;174(2):113-20.

PMID:2349809
Abstract

The influence of different lung resection methods on pulmonary function was studied in 34 patients suffering from bronchial carcinoma. Daily measurements from the 1st to 10th postoperative day reveal the greatest losses of function after right upper lobectomy. Lower lobectomies or left upper lobectomy resulted in a less extensive loss of function. Recovery of function mainly occurs in the first 4 days after operation. Centrally acting analgetics are followed by a loss in pulmonary function whereas locally applied analgetics improve early postoperative function.

摘要

对34例支气管癌患者研究了不同肺切除方法对肺功能的影响。术后第1天至第10天的每日测量结果显示,右上叶切除术后功能损失最大。下叶切除术或左上叶切除术导致的功能损失范围较小。功能恢复主要发生在术后的前4天。使用中枢性镇痛药后肺功能会下降,而局部应用镇痛药则可改善术后早期功能。

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