Douchet M P, Barsotti P, Schneeberger M, Bauer C, Massard G, Brechenmacher C, Wihlm J M
Service de Cardiologie Syndicat Inter Hospitalier de la Communauté Urbaine de Strasbourg (CMCO), Schiltigheim.
Ann Cardiol Angeiol (Paris). 1998 May;47(5):323-7.
Supraventricular arrhythmias are frequently observed in pneumonectomy surgery. We retrospectively studied a series of 100 consecutive patients undergoing pneumonectomy for cancer between 1994 and 1996. We found 24% of significant supraventricular arrhythmias, corresponding to atrial fibrillation in 75% of cases, occurring in 80% of cases until the third postoperative day. The only risk factor significantly associated with these arrhythmias was the patient's age. These arrhythmias are easily reduced, spontaneously in 25% of cases, and usually by amiodarone, alone or associated with digitalis alkaloids. While the mortality of the overall group was 12%, 8% of patients with arrythmia died. These deaths concerned patients whose arrythmias occurred after the fourth postoperative day in a context of a pulmonary infection.
在肺切除手术中经常观察到室上性心律失常。我们回顾性研究了1994年至1996年间连续接受肺癌肺切除术的100例患者。我们发现24%的患者出现明显的室上性心律失常，其中75%为房颤，80%的病例在术后第三天内出现。与这些心律失常显著相关的唯一危险因素是患者年龄。这些心律失常很容易缓解，25%的病例可自发缓解，通常使用胺碘酮单独治疗或与洋地黄生物碱联合治疗。虽然总体死亡率为12%，但心律失常患者中有8%死亡。这些死亡病例涉及术后第四天在肺部感染情况下出现心律失常的患者。
