Tabata T, Tanita T, Ono S, Maeda S, Noda M, Hoshikawa Y, Chida M, Suzuki S, Okaniwa G, Fujimura S
Department of Surgery, Sendai Kosei Hospital, Japan.
Kyobu Geka. 1996 May;49(5):347-51; discussion 351-2.
29 patients over 75 years of age in 221 patients undergoing resection of lung cancer from January of 1990 through December of 1994 were studied for the occurrence of expectoration disturbance (atelectasis), the effect of epidural anesthesia for protection of it. Atelectasis was observed in 8 (27.6%) of 29. In a group received epidural anesthesia (EA) during the early postoperative phase, 1 of 5 patients developed atelectasis. In 192 patients below 75 years of age, atelectasis was observed in 40 (20.8%) of them, so in a group received epidural anesthesia (EA) during the early postoperative phase, only 2 of 42 patients (4.8%) developed atelectasis. This value was significantly lower than that value (25.3%) in a group without EA. In conclusion, in the group below 75 years of age, EA during the early postoperative phase may be useful in inhibiting the occurrence of atelectasis, an important one of the postoperative lung complications.
对1990年1月至1994年12月期间接受肺癌切除术的221例患者中的29例75岁以上患者，研究咳痰障碍（肺不张）的发生情况以及硬膜外麻醉对其的保护作用。29例患者中有8例（27.6%）出现肺不张。在术后早期接受硬膜外麻醉（EA）的一组中，5例患者中有1例发生肺不张。在192例75岁以下患者中，有40例（20.8%）出现肺不张，因此在术后早期接受硬膜外麻醉（EA）的一组中，42例患者中只有2例（4.8%）发生肺不张。该值显著低于未接受EA组的值（25.3%）。总之，在75岁以下的患者组中，术后早期的硬膜外麻醉可能有助于抑制肺不张的发生，肺不张是术后肺部并发症中的重要一种。
