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- W3029133056 abstract "目的探讨重度肺功能减退对肺切除术的影响、手术适应症和围手术期管理.方法选择1995年1月~1999年12月重度肺功能减退肺切除术18例进行回顾分析.肺癌12例,多发肺囊肿3例,肺气肿肺大疱3例.全肺切除术9例,肺叶切除术5例,肺楔形切除术2例,电视胸腔镜肺大疱切除术2例.术前MVV≤50%13例,其中<40% 7例;FEV1.0≤1.5 L 15例,其中<1.0 L 8例;FVC≤50% 6例,其中<40%3例;RV/TLC≥45%12例,>50% 10例.结果本组18例无手术死亡.术后并发症9例,其中呼吸衰竭6例,心力衰竭2例,心律紊乱1例.结论重度肺功能减退肺切除术有较大的风险,要根据肺功能状态和病变范围并结合心电图、血气分析等因素综合分析合理选择适应症和术式并重视围手术期管理." @default.
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- W3029133056 date "2002-03-01" @default.
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- W3029133056 title "Experiences of lung resection in 18 cases of lung diseases with poor pulmonary function" @default.
- W3029133056 doi "https://doi.org/10.3760/cma.j.issn.1008-6315.2002.03.027" @default.
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