Luce J M
Postgrad Med. 1980 Jan;67(1):201-3, 206-7. doi: 10.1080/00325481.1980.11715348.
Numerous studies in recent years have documented the increased risk of perioperative complications in patients with pulmonary disease. In assessing lung function before anesthesia and surgery, history and physical examination may be helpful but spirometry and blood gas determination are more accurate indicators of significant pulmonary disease. Risk apparently can be minimized by intensive chest therapy before and after surgery. Low-dose heparin therapy, in particular, is rec-mmended to prevent deep venous thrombosis and pulmonary embolism.
近年来，大量研究记录了肺部疾病患者围手术期并发症风险增加的情况。在麻醉和手术前评估肺功能时，病史和体格检查可能会有所帮助，但肺活量测定和血气测定是更准确的严重肺部疾病指标。通过手术前后的强化胸部治疗，风险显然可以降至最低。特别是推荐使用低剂量肝素治疗以预防深静脉血栓形成和肺栓塞。
