Kikuchi K, Ogata T
Gan To Kagaku Ryoho. 1986 Oct;13(11):3114-8.
In patients aged over 70 years with bronchogenic carcinoma, respiratory failure following pulmonary resection is the most common cause of death. Before August 1982, 23 patients over 70 were treated surgically at the National Defense Medical College Hospital. Of these 23 patients, 4 died from postoperative respiratory failure, 2 of them dying within 30 postoperative days. Since August 1982, 35 pulmonary resections have been performed in patients over 70 who have been managed with pulmonary rehabilitation, resulting in no deaths from respiratory failure. Pulmonary rehabilitation has also provided a shorter duration of atelectasis and a reduced need for bronchoscopic aspiration. We therefore consider that pulmonary rehabilitation is the respiratory care of choice in elderly patients undergoing pulmonary resection.
在70岁以上的支气管源性癌患者中，肺切除术后呼吸衰竭是最常见的死亡原因。1982年8月之前，23名70岁以上的患者在国防医科大学医院接受了手术治疗。在这23名患者中，4人死于术后呼吸衰竭，其中2人在术后30天内死亡。自1982年8月以来，35名70岁以上的患者接受了肺康复治疗后进行了肺切除术，无一例因呼吸衰竭死亡。肺康复还缩短了肺不张的持续时间，并减少了支气管镜吸痰的需求。因此，我们认为肺康复是老年患者肺切除术后呼吸护理的首选方法。
