肺保护性通气对长期口腔癌联合游离皮瓣手术术后肺部结局的影响。
Effects of lung protective ventilation on postoperative pulmonary outcomes for prolonged oral cancer combined with free flap surgery.
作者信息
Cheng Chia-Dan, Lin Wei-Lin, Chen Yuan-Wu, Cherng Chen-Hwan
机构信息
Department of Dentistry.
Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan.
出版信息
Medicine (Baltimore). 2020 Jan;99(5):e18999. doi: 10.1097/MD.0000000000018999.
The intraoperative lung protective ventilation with low tidal volume, positive end expiratory pressure (PEEP) and intermittent lungs recruitment was found to decrease postoperative pulmonary complications. In this retrospective medical records study, we investigated the effects of lung protective ventilation on postoperative pulmonary outcomes among the patients received prolonged oral cancer combined with free flap surgery.We collected the medical records of the patients received oral cancer surgery with the operation time more than 12 hours from January 2011 to December 2015. We recordedFifty nine cases were included. Thirty cases received the lung protective ventilation and 29 cases received conventional ventilation. Compared to the patients received conventional ventilation, the patients received intraoperative lung protective ventilation showedIn conclusion, for the prolonged oral cancer combined with free flap surgery, the intraoperative lung protective ventilation improves postoperative pulmonary outcomes and decreases the duration of ICU stay.
研究发现，采用低潮气量、呼气末正压通气（PEEP）和间歇性肺复张的术中肺保护性通气可减少术后肺部并发症。在这项回顾性病历研究中，我们调查了肺保护性通气对接受长时间口腔癌联合游离皮瓣手术患者术后肺部结局的影响。我们收集了2011年1月至2015年12月期间接受手术时间超过12小时的口腔癌手术患者的病历。共纳入59例患者。30例接受肺保护性通气，29例接受传统通气。与接受传统通气的患者相比，接受术中肺保护性通气的患者……总之，对于长时间口腔癌联合游离皮瓣手术，术中肺保护性通气可改善术后肺部结局并缩短重症监护病房住院时间。
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