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围手术期肺部并发症的评估与管理。

Evaluation and Management of Perioperative Pulmonary Complications.

机构信息

Division of Hospital Medicine, Department of Medicine, Emory University Hospital, 310 Findley Way, Johns Creek, GA 30097, USA.

Baylor Scott & White Health, Baylor College of Medicine, 2401 South 31st Street, MS 01-410, Temple, TX 76052, USA.

出版信息

Med Clin North Am. 2024 Nov;108(6):1087-1100. doi: 10.1016/j.mcna.2024.04.003. Epub 2024 Aug 1.

Abstract

Pulmonary complications are very common after noncardiac surgery and can be easily overlooked. If not properly screened for or evaluated these can in many instances lead to postoperative respiratory failure or even death. Decisions regarding ambulatory versus inpatient surgery, modality of anesthesia, protective ventilation and method of weaning, type of analgesia, and postoperative monitoring can be crucial to avoid such complications.

摘要

非心脏手术后肺部并发症很常见,容易被忽视。如果没有进行适当的筛查或评估,这些并发症在许多情况下可能导致术后呼吸衰竭,甚至死亡。关于门诊手术与住院手术、麻醉方式、保护性通气和脱机方法、镇痛类型以及术后监测的决策对于避免此类并发症至关重要。

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