在接受胸部手术的患者的夜间低通风
Maciej Majchrzak1, Cyryl Daroszewski2, Piotr Błasiak1
1Department of Thoracic Surgery, Wrocław Medical University, Wrocław 53-439, Grabiszyńska 105, Poland.
Canadian respiratory journal
|August 18, 2023
概括
胸部手术后夜间低通风很常见,特别是在患有潜在呼吸道疾病的肥胖患者中. 这种情况似乎不会影响住院时间.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 睡眠医学 睡眠医学
背景情况:
- 夜间低通风与肥胖,COPD,OSA和麻醉剂使用有关.
- 胸部手术患者有呼吸道并发症的风险.
- 透皮镜是一种监测二氧化碳水平的工具.
研究的目的:
- 评估胸部手术后夜间低通风的发生率和严重程度.
- 在这个患者群体中确定夜间低通风的危险因素.
主要方法:
- 研究了68名患者 (45名肥胖者,23名非肥胖者) 接受了针对瘤的胸部手术.
- 在手术前和手术后监测过夜的穿皮CO2 (tcpCO2).
- 定义的夜间低通风是tcpCO2>55 mmHg至少10分钟.
主要成果:
- 夜间低通风发生在15%的患者 (所有肥胖者) 中.
- 患有低通风的肥胖患者在手术前的tcpCO2水平较高.
- 手术后的低通风没有影响住院时间.
结论:
- 患有COPD,OSA或慢性头高症的肥胖患者在胸部手术后有更高的夜间低通风风险.
- 早期术后夜间低通风没有影响住院时间.
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