围手术期肺损伤 PPT课件

甚至ARDS? 基础慢性肺疾患加重等Р手术后肺部并发症的发生率Р所有外科手术病人的5- 10% ?Р腹部手术以后的9- 40%РWong et al. Factors associated with postoper. plications in patients with severe COPD. Anesthesia Analgesia 1995;80:276-284.Р围手术期肺损伤的危害Р围手术期肺损伤的病变程度可以从一些表现为肺功能改变的亚临床损伤到严重的急性肺损伤(ATL)甚至急性呼吸窘迫综合症(ARDS),后两者一旦发生,其病死率高达50%以上Р手术后肺部并发症延长患者住院时间,并显著增加30天死亡率РJaume , Lluís Gallart, Carmen Gomar.,Postoperative plications in a Population-based Surgical Cohort Anesthesiology 2010; 113:1338 –50Р围手术期肺损伤显著延长患者住院时间Р术后出现肺部并发症的种类РJaume , Lluís Gallart, Carmen Gomar.,Postoperative plications in a Population-based Surgical Cohort Anesthesiology 2010; 113:1338 –50Р围手术期肺损伤显著增加患者死亡率Р术后出现肺部并发症的种类РJaume , Lluís Gallart, Carmen Gomar.,Postoperative plications in a Population-based Surgical Cohort Anesthesiology 2010; 113:1338 –50Р术后肺部并发症的危险因素Р(1)患者相关的危险因素