摘要
目的探讨高龄(≥70岁)肺癌患者术后心律失常的病因。方法回顾性分析自2001年3月至2008年5月经手术治疗高龄(≥70岁)肺癌患者355例,术后全部在ICU用多功能生命监护仪连续监护72h以上。结果术后发生心律失常223例,发生率为62.8%。术前心电图异常者,术后心律失常发生率为74.5%(172/231),明显高于术前心电图正常者的45.2%(56/124)(P<0.05)。全肺切除术后心律失常发生率为87.8%(43/49),明显高于肺叶切除、肺楔形切除和剖胸探查术后的58.1%(178/306)(P<0.05)。术前有重度吸烟史者术后心律失常发生率为78.4%(156/199),明显高于非重度吸烟史者的43%(67/156)(P<0.05)。术前有心血管病史者术后心律失常的发生率为72.2%(190/263),明显高于无心血管病史者的38%(35/92)(P<0.05)。结论术前有心电图异常、有心血管病史、有重度吸烟史及行全肺切除是高龄肺癌患者术后心率失常的重要因素。
Objective To explore the factors of postoperative cardiac arrythmia in the elderly of lung cancer. Methods From 2001.3 to 2008.5, there are 355 cases of lung cancer in the elderly operation done. All patients had been observated at least three days. Results The overall rate of arrythmia was 62. 8% （223/355）. The factors of postoperative cardiac arrythmia correlated with preoperative abnormal electric cardiacgraphy, operative ways, preoperative smoking, and preoperative cardiovascular diseases （P 〈 0. 05 ）. Conclusion Preoperative abnormal electric cardiacgraphy, operative ways, preoperative smoking and preoperative cardiovascular diseases are the causes of postoperative cardiac arrythmia in the elderly of lung cancer.
出处
《中国实用医药》
2009年第9期32-33,共2页
China Practical Medicine
关键词
老年人
肺肿瘤
外科手术
心律失常
The elderly
Lung neoplasms
Surgery
Cardiac arrythmia
