围手术期肺部并发症防治策略的研究进展

Ran Xia, Xingyu Tong, Chengmi Zhang, Weiwei Li, Xueyin Shi
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引用次数: 0

摘要

术后肺部并发症(PPC)因其在外科患者中的高发病率和高死亡率而引起越来越多的关注。然而,关于它的诊断和治疗仍有许多争论。本文综述了肺保护性通气的发病机制、诊断、预测风险指标和策略,以及围手术期可以采取的外科、麻醉学、护理和其他预防措施。介绍了国内外研究进展。在新时代,当术后增强恢复的概念被广泛接受时,需要多学科的密切合作来应对PPC并降低其严重程度。关键词:肺;术后并发症;围手术期;肺部保护性通气
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Research progress on the perioperative strategy of prevention and treatment of postoperative pulmonary complications
Postoperative pulmonary complication (PPC) has drawn increasing attention due to high incidence and mortality in surgical patients. However, there are many debates its diagnosis and treatment. This review summarized the pathogenesis, diagnosis, predictive risk indicators, and strategy of lung protective ventilation, as well as surgical, anesthesiological, nursing care and other preventative measures that can be taken in the perioperative period. It also introduces the progress on domestic and oversea researches. In the new era when the concept of enhanced recovery after surgery is widely accepted, close multi- disciplinary cooperation is required to cope with PPC and reduce its severity. Key words: Lung; Postoperative complications; Perioperative period; Lung protective ventilation
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