摘要
目的探讨心脏瓣膜置换术后肺部并发症在围手术期危险因素及其影响。方法以2009年2月至2011年8月356例心脏瓣膜置换患者为研究对象,分析其瓣膜置换术后相关因素,观察它们在围手术期肺部并发症中的作用。结果共有23例肺部并发症(6.5%),心脏瓣膜置换术后肺部并发症的危险因素包括:需要血管活性药物支持(OR=2.10),二次开胸(OR=2.12),主动脉内球囊反搏(OR=2.21),胸腔积液(OR=2.67),术后脑血管意外(OR=5.51)及术后肾功能衰竭需用肾透析(OR=9.89)。结论心脏瓣膜置换术后多种危险因素增加术后肺部并发症的发生,特别是脑血管意外、膈神经损伤及术后肾功能衰竭需用肾透析最为明显。对此类患者需特别注意保护肺功能,以减少并发症的发生。
Objective To investigate the risk factors for pulmonary complicationsafter cardiac valve replacement.Methods 356 patientsreceivedvalve replacement duringFebruary 2009and August 2011 were obtained as subject,and investigate the riskfactors for pulmonary complicationsafter cardiac valve replacement.Results 23 pulmonary complicationsoccurred after patients receivedvalve replacement（6.5%）.Therisk factorsincluding： theneedof vasoactive drugs（OR = 2.10）,reoperation（OR = 2.12）,intra-aortic balloon pump（OR = 2.21）,pleural effusion（OR = 2.67）,postoperativecerebrovascularaccident（OR = 5.51） and postoperativerenalfailure（OR = 9.89）.Conclusions A variety factors increase theriskofoccrence of postoperativepulmonary complications,especially cerebrovascularaccident,injury of phrenic nerve andpostoperativerenalfailure.So protect lung functionwill help to reducethe incidence of complications.
出处
《齐齐哈尔医学院学报》
2013年第15期2198-2199,共2页
Journal of Qiqihar Medical University
关键词
心脏瓣膜置换术后
肺部并发症
危险因素
Cardiac valve replacement
Pulmonary complications
Risk factors
作者简介
通信作者：莫玉林，Email：694498147@qq．com
