Diagnosis and treatment of gastric carcinoma combined with severe pulmonary dysfunction in 20 cases

VernacularTitle:胃癌合并重度肺功能障碍20例诊疗分析
Author: Yifan LI ; Zhiwei LIANG ; Jinfeng MA
Publication Type:Journal Article
Keywords: Stomach neoplasms; Vital capacity Maximal voluntary ventilation; Severe pulmonary dysfunction; Forced expiratory volume in one second
From: International Journal of Surgery 2012;39(9):594-596,封3
CountryChina
Language:Chinese
Abstract: Objective To summarize the experience of operation on gastric carcinoma combined with severe pulmonary dysfunction and reduce the incidence of postoperative fatality and complications.Methods According to FVC,MVV,FEV1 from high to low grouping,and interfere with ambroxol hydrochloride,doxofylline,budesonide,terbutaline,ipratropium bromide,tiotropium bromide to 20 patients who suffered gastric carcinoma combined with severe pulmonary dysfunction before and after operation,and interfere with different anesthesia methods.Results Postoperative complications occurred in 20 patients within one month,Hydrothorax in 2 cases,pulmonary infection in 2 cases,respiratory failure in 2 cases,acute pulmonary edema in 1 cases,acute pulmonary embolism in 1 case.After active treatment,19 patients cured,1 case died due to acute pulmonary edema.Conclusion The complications rate and risks are high in the gastric carcinoma patients combined with severe pulmonary dysfunction,and strict preoperative and postoperative managements are key to the operation.