Lakshminarasimhachar Anand, Smetana Gerald W
Division of Cardiothoracic Anesthesiology, Barnes Jewish Hospital, Washington University School of Medicine in St. Louis, 660, South Euclid Avenue, St Louis, MO 63110, USA.
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Yamins 102C, 330 Brookline Avenue, Boston, MA 02215, USA.
Anesthesiol Clin. 2016 Mar;34(1):71-88. doi: 10.1016/j.anclin.2015.10.007.
Postoperative pulmonary complications (PPCs) are common after major non-thoracic surgery and associated with significant morbidity and high cost of care. A number of risk factors are strong predictors of PPCs. The overall goal of the preoperative pulmonary evaluation is to identify these potential, patient and procedure-related risks and optimize the health of the patients before surgery. A thorough clinical examination supported by appropriate laboratory tests will help guide the clinician to provide optimal perioperative care.
术后肺部并发症（PPCs）在非胸部大手术之后很常见，并且与显著的发病率和高昂的护理成本相关。许多风险因素是PPCs的强有力预测指标。术前肺部评估的总体目标是识别这些潜在的、与患者及手术相关的风险，并在手术前优化患者的健康状况。由适当的实验室检查支持的全面临床检查将有助于指导临床医生提供最佳的围手术期护理。
