Toriyabe M, Yamakage M, Kawamata T, Homma Y, Kurosawa S, Susa Y, Namiki A
Department of Anesthesiology, Sapporo Medical University School of Medicine.
Masui. 1998 Jul;47(7):888-93.
We retrospectively investigated the perioperative management and postoperative pulmonary complications of patients who had preoperative respiratory problems and consultations with anesthesiologists. These patients numbered eight hundred, 23.7% of all patients who had preoperative consultations, and 40.9% and 62.0% of the 800 had preoperative and postoperative respiratory management, respectively. Forty eight patients (6.0%) received postoperative artificial respiration. One hundred and twenty four patients (15.5%) had some respiratory complications post-operatively, and 5 patients (0.7%) died mainly because of the complications. In an evaluation of these patients with the modified predicted risk factors of Okutsu including the obesity factor and smoking history, there was no respiratory complication in patients under 14 points. Patients with high points of more than 20 included almost all of the patients (114 patients, 91.9%) who had postoperative respiratory complications. We conclude that our preoperative consultation system works well and that the modified predicted-risk factors for postoperative pulmonary complications is useful for the standardization and objectivity of preoperative patient evaluation.
我们回顾性研究了术前存在呼吸问题并咨询麻醉科医生的患者的围手术期管理及术后肺部并发症情况。这些患者有800例，占所有术前咨询患者的23.7%，在这800例患者中，分别有40.9%和62.0%的患者接受了术前和术后呼吸管理。48例患者（6.0%）术后接受了人工呼吸。124例患者（15.5%）术后出现了一些呼吸并发症，5例患者（0.7%）主要因并发症死亡。在根据包括肥胖因素和吸烟史在内的改良Okutsu预测风险因素对这些患者进行评估时，14分以下的患者未出现呼吸并发症。20分以上的高分患者几乎包括了所有术后出现呼吸并发症的患者（114例，91.9%）。我们得出结论，我们的术前咨询系统运行良好，并且改良的术后肺部并发症预测风险因素有助于术前患者评估的标准化和客观性。
