Nunn J F, Milledge J S, Chen D, Dore C
Division of Anaesthesia, Clinical Research Centre, Harrow, Middlesex.
Anaesthesia. 1988 Jul;43(7):543-51. doi: 10.1111/j.1365-2044.1988.tb06683.x.
A retrospective analysis has been undertaken of 53 operations in 42 patients with severe chronic obstructive airway disease. All patients had a forced expiratory volume in 1 second between 0.3 and 1 litre, but the outcome of surgery was successful after their first operations, all of which were elective; 38 of the 42 had uneventful anaesthesia and surgery together with a normal postoperative period, while four had artificial ventilation of the lungs. The best predictors of the use of postoperative ventilation were the arterial PO2 and whether the patient was dyspnoeic at rest.
对42例重度慢性阻塞性气道疾病患者进行的53次手术进行了回顾性分析。所有患者的1秒用力呼气量在0.3至1升之间，但首次手术（均为择期手术）后手术结果成功；42例患者中有38例麻醉和手术过程顺利，术后恢复正常，而4例需要进行肺人工通气。术后通气使用的最佳预测指标是动脉血氧分压以及患者静息时是否呼吸困难。
