Prys-Roberts C
Br J Hosp Med. 1986 Jan;35(1):43-5.
The key to the management of anaesthesia in patients with severe pulmonary disease lies in predicting the requirement for support of ventilation and/or oxygenation in the postoperative period, and the provision of effective pain relief in such a way as to allow the patient to maintain adequate spontaneous ventilation. This in turn depends on understanding the influence of the relevant surgical intervention on the patient's ability to sustain his normal breathing requirements, to breathe deeply, and to cough.
重症肺部疾病患者麻醉管理的关键在于预测术后通气和/或氧合支持的需求，并以能让患者维持足够自主通气的方式提供有效的疼痛缓解。这反过来又取决于了解相关手术干预对患者维持正常呼吸需求、深呼吸及咳嗽能力的影响。
