心脏扩张对肺切除术后恢复的影响。
Effect of Cardiac Expansion on Postsurgical Pulmonary Resection Recovery.
机构信息
Department of Thoracic and Cardiovascular Surgery, Nara Medical University, Nara, Japan.
Department of Thoracic and Cardiovascular Surgery, Nara Medical University, Nara, Japan
出版信息
In Vivo. 2019 Nov-Dec;33(6):1977-1984. doi: 10.21873/invivo.11693.
BACKGROUND/AIM: In patients undergoing lung resection, even when lung and ventricular function are normal, there may be a prolonged delay in postoperative recovery. The effect of left ventricular extension disorders on recovery after pulmonary resection was investigated.
MATERIALS AND METHODS
The postoperative recovery of ninety patients with normal left ventricular ejection fraction and exercise tolerance who underwent anatomical pulmonary resection was evaluated according to the grade of left ventricular expansion (E/e').
RESULTS
Left ventricular extension was normal (≤8) in 53 cases, moderately restricted (8-12) in 36 cases and severely restricted (>12) in 9 cases. No significant difference was found in the postoperative complication rate. However, the severely restricted group had a significantly higher duration of oxygen administration, intensive care unit stay, and postoperative hospital stay, which were found to be independent predictors of ventricular expansion.
CONCLUSION
Left ventricular expansion dysfunction had a negative effect on postoperative recovery.
背景/目的：在接受肺切除术的患者中，即使肺和心室功能正常，术后恢复也可能会延长。本研究旨在探讨左心室扩张障碍对肺切除术后恢复的影响。
材料与方法
根据左心室扩张（E/e'）程度，评估 90 例左心室射血分数和运动耐量正常的解剖性肺切除术患者的术后恢复情况。
结果
53 例患者左心室扩张正常（≤8），36 例患者中度受限（8-12），9 例患者重度受限（>12）。术后并发症发生率无显著差异。然而，重度受限组的吸氧时间、重症监护病房停留时间和术后住院时间均显著延长，且左心室扩张是这些差异的独立预测因子。
结论
左心室扩张功能障碍对术后恢复有负面影响。
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