Jayr C, Bourgain J L, Mollie A, Lasser P, Truffa-Bachi J
Service d'Anesthésie, Institut Gustave-Roussy, Villejuif.
Ann Fr Anesth Reanim. 1990;9(2):106-9. doi: 10.1016/s0750-7658(05)80047-4.
Pulmonary complications are frequent after abdominal surgery. The object of this study was to evaluate the incidence and the predisposing factors of the postoperative pulmonary complications with a particular attention to their definitions. It included 146 patients. The respiratory complications were separated into clinical complications (bronchitis), radiological complications (atelectasis) and hypoxaemia (PaO2 less than 70 mmHg). Clinical complications (23%) were correlated neither with radiological complications (57%) nor hypoxaemia (46%). They particularly occurred in patients with a preoperative history of respiratory disease. Preoperative risk factors were males, low PaO2 and decreased FEV1. Radiological complications were strongly correlated with postoperative hypoxaemia. Their incidence was not affected by a previous history of respiratory disease. Both radiological complications and hypoxaemia were predicted by age.
腹部手术后肺部并发症很常见。本研究的目的是评估术后肺部并发症的发生率和诱发因素，并特别关注其定义。该研究纳入了146例患者。呼吸并发症分为临床并发症（支气管炎）、放射学并发症（肺不张）和低氧血症（动脉血氧分压低于70 mmHg）。临床并发症（23%）与放射学并发症（57%）和低氧血症（46%）均无相关性。它们尤其发生在有呼吸系统疾病术前史的患者中。术前危险因素为男性、低动脉血氧分压和第一秒用力呼气量降低。放射学并发症与术后低氧血症密切相关。其发生率不受既往呼吸系统疾病史的影响。放射学并发症和低氧血症均由年龄预测。
