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中国癌症防治杂志

中国癌症防治杂志

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肺癌术后心律失常相关危险因素的研究

钱立宇;茅乃权;韦维;高春明;   

  1. 广西医科大学研究生学院;广西医科大学肿瘤医院胸科;
  • 收稿日期:2010-03-25 修回日期:2010-03-25 出版日期:2010-03-25 发布日期:2010-03-25

Risk factors of cardiac arrhythmia following operation on lung cancer

QIAN Li-yu,MAO Nai-quan,Wei Wei,et al.   

  1. (Department of Chest,Tumor Hospital of Guangxi Medical University,Nanning 530021,China
  • Received:2010-03-25 Revised:2010-03-25 Online:2010-03-25 Published:2010-03-25

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被引次数

27

摘要： 目的探讨诱发肺癌术后心律失常的相关因素,为肺癌术后心律失常的防治提供科学依据。方法采用病例对照研究方法,对2004年4月至2009年4月期间在肿瘤医院住院予以肺癌手术的患者419例进行调查,对肺癌术后心律失常可能的危险因素行Logistic回归分析。结果术前吸烟、老年(≥65岁)、肺气肿病史、术中心包损伤、全肺切除的手术方式、术后酸碱失衡、电解质紊乱、并发症(肺不张、液气胸)和术后镇痛均与肺癌术后心律失常的发生有显著相关性。结论术前积极治疗心肺并发症,改善心肺功能;术后加强心电监护及预防处理,这样可减少肺癌术后心律失常的发生。

关键词: 肺肿瘤, 心律失常, 术后并发症

Abstract: Objective To investigate the risk factor of cardiac arrhythmia following operation on lung cancer,to search approach for its prevention and treatment.Methods With methods of case-control study,an epidemiological survey of the cardiac arrhythmia following operation on lung cancer in Tumor Hospital of Guangxi Medical University from April 2004 to April 2009 was conducted.Logistic regression was performed.Results Risk factors were identified by multifactor unconditional logistic regression,including age older than 65y,tobacco smoking,poor pulmonary function,pericardial injury,after acid-base imbalance,electrolyte disorders,large scale of clearance of lymph nodes,pathological grading,complications after operation,postoperative analgesia.Conclusion To prevent the occurrence of postoperative arrhythmias,the measures such as active treatment of cardio-pulmonary complication,improvement of heart and lung functions,postoperative care with ECG and preventive treatment are necessary.

Key words: Lung cancer, Postoperative complication, Cardiac arrhythmia, Risk factor