Classification of postoperative pulmonary complications and its management in patients with lung cancer
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- Nakahara Kazuya
- The First Department of Surgery, Osaka University Medical School M.D.
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- Ohno Kiyoshi
- The First Department of Surgery, Osaka University Medical School M.D.
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- Hashimoto Jumpei
- The First Department of Surgery, Osaka University Medical School M.D.
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- Maeda Hajime
- The First Department of Surgery, Osaka University Medical School M.D.
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- Miyoshi Shinichiro
- The First Department of Surgery, Osaka University Medical School M.D.
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- Matsumura Akihide
- The First Department of Surgery, Osaka University Medical School M.D.
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- Mizuta Takatoshi
- The First Department of Surgery, Osaka University Medical School M.D.
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- Nakagawa Katsuhiro
- The First Department of Surgery, Osaka University Medical School M.D.
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- Kawashima Yasunaru
- The First Department of Surgery, Osaka University Medical School M.D.
Bibliographic Information
- Other Title
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- 肺癌手術後肺合併症, その分類と対策
- キョクショ カンキ ケツリュウ ブンプ カラ ミタ ハイガン ノ シンテン ト
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Abstract
The postoperative courses in 157 patients with lung cancer were classified into 4 groups : no postoperative problems (Group I, 116 patients), retention of sputum and/or atelectasis requiring bronchofiberscopy more than 2 times (Group II, 17 patients), tracheostomy and mechanical ventilation for more than 2 days (Group III, 14 patients) and postoperative death (Group IV, 10 patients). Pulmonary function study such as FEV1%, MVV/BSA, RL/TLC, ΔN2% and so on revealed that over the one-third of the patients suffered from chronic obstructive lung disease (COLD) of any degree and the frequency of COLD was significantly high in Group II_IV, compared with Group I.<BR>Predicted postoperative Index (predicted postoperative FEV1/normal VC) was 56.1+ 15.0% in Group I, 47.1+8.0% in Group II, 31.0+8.4% in Group III and 38.1+16.0% in Group IV, indicating a statistically significant difference between each group except for between Group III and IV.<BR>The postoperative epidural buprenorphine was effective in 90.1% of the patients. Parameters of expiratory function expressed as FVC, FEV1, PEFR, maximum expiratory pressure, cough pressure became significantly better after buprenorphine injection.<BR>The postoperative aminophylline injection (6 mg/kg 30 min) was effective to increase maximum transdiaphragmatic pressure significantly.<BR>We conclude that COLD was an important factor of postoperative risk, and that patients with predicted postoperative Index less than 30% was high risk for postoperative complication. Postoperative epidural anesthesia and aminophylline were useful for postoperative management.
Journal
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- The Journal of the Japanese Association for Chest Surgery
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The Journal of the Japanese Association for Chest Surgery 1 (2), 13-19, 1987
The Japanese Association for Chest Surgery
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Details 詳細情報について
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- CRID
- 1390282679329178624
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- NII Article ID
- 130003653310
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- NII Book ID
- AN00187736
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- ISSN
- 03694739
- 18841724
- 09174141
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- NDL BIB ID
- 2208141
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed