Hodgkin J E
Am J Surg. 1979 Sep;138(3):355-60. doi: 10.1016/0002-9610(79)90263-0.
Respiratory problems are a major cause of postoperative complications. Detection of the patient with subtle chronic obstructive pulmonary disease is essential to lessen the risk of respiratory complications in the postoperative period. In the patient with known chronic obstructive pulmonary disease, it is important to determine not only whether a lung lesion such as a neoplasm can be completely resected, but also whether the patient's cardiorespiratory reserve is adequate to allow the proposed lung resection. Detection of the patient at increased risk as well as evaluation of the ability to withstand surgery is discussed.
呼吸问题是术后并发症的主要原因。识别患有轻度慢性阻塞性肺疾病的患者对于降低术后呼吸并发症的风险至关重要。对于已知患有慢性阻塞性肺疾病的患者，不仅要确定肺部病变（如肿瘤）是否能够完全切除，还要确定患者的心肺储备功能是否足以承受拟行的肺切除术，这一点很重要。本文讨论了识别高风险患者以及评估其手术耐受能力的相关内容。
