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肺叶分割功能测试与肺切除术。手术可行性的下限。

Lung split function test and pneumonectomy. A lower limit for operability.

作者信息

Tønnesen K H, Dige-Petersen H, Lund J O, Nielsen S L, Lauridsen F

出版信息

Scand J Thorac Cardiovasc Surg. 1978;12(2):133-6. doi: 10.3109/14017437809100363.

DOI:10.3109/14017437809100363
PMID:715397
Abstract

Regional 133Xe ventilation/perfusion studies were used to predict residual lung function after pulmonary resections. The accuracy of the method was good as checked by postoperative spirometry in 11 patients. In 25 patients with impaired lung function and pulmonary cancer, who were consecutively selected for surgery, the predicted postoperative maximal breathing capacities (MBC) ranged from 17 to 41 l/min-1 m-2. No patients became permanent pulmonary invalids. One patient died from myocardial infarction, 7 had transient pulmonary insufficiency and 17 patients survived operation without complications. Perfusion studies alone proved as reliable as perfusion/ventilation studies.

摘要

采用局部133Xe通气/灌注研究来预测肺切除术后的残余肺功能。通过对11例患者术后肺活量测定检查发现,该方法的准确性良好。在连续入选接受手术的25例肺功能受损的肺癌患者中,预测的术后最大呼吸容量(MBC)为17至41升/分钟-1米-2。没有患者成为永久性肺功能不全者。1例患者死于心肌梗死,7例有短暂性肺功能不全,17例患者术后存活且无并发症。单独的灌注研究结果证明与灌注/通气研究同样可靠。

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