实用医学杂志 ›› 2023, Vol. 39 ›› Issue (4): 510-513.doi: 10.3969/j.issn.1006⁃5725.2023.04.022

• 综述 • 上一篇    下一篇

心脏外科术后肺部并发症研究进展

李霞 马华怡 赖军华 莫小源   

  1. 柳州市工人医院重症医学科(广西柳州 545007)
  • 出版日期:2023-02-25 发布日期:2023-02-25
  • 基金资助:
    广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z20200246)

Research progress of pulmonary complications after cardiac surgery

LI Xia,MA Huayi,LAI Junhua,MO Xiaoyuan.   

  1. Department of Critical Care Medicine,Liuzhou Worker′s Hospital,Liuzhou 545007,China

  • Online:2023-02-25 Published:2023-02-25

摘要:

心脏外科手术对人体进行了重大、显著的血流动力学以及生理学改变,使患者发生病理生理变化。心脏术后肺部并发症具有较高的发病率和病死率,是住院时间延长和重返 ICU 的主要原因,增加医疗资源的消耗及公共卫生系统的负担。该类患者术后的护理需要详细了解其心肺系统改变,及时有效针对可能出现的并发症早期预防以及干预。本综述描述了心脏术后肺部并发症的流行病学、危险因素、临床特点及其处理措施。

关键词: 心胸外科, 术后肺部并发症, 重症监护, 并发症, 重症护理, 危险因素

Abstract:

Cardiac surgery can cause significant alterations in hemodynamics and physiology upon the human body,leading to pathophysiological changes in the patients. Postoperative pulmonary complications have a higher morbidity and mortality in the cardiac surgical population,being a leading cause of prolonged hospital stay and repeated ICU stay. This condition has increased consumption of medical resources and financial burden to health care systems. Due to the postoperative nursing for these patients,a physician needs to understand the changes in the cardiopulmonary system and promptly and effectively provides early prevention and treatment for possible complications. In this review,we highlight the prevalence,risk factors,clinical characteristics,and management of the postoperative pulmonary complications after cardiac surgery.

Key words:

cardiothoracic surgery, postoperative pulmonary complication, intensive care, compli? cation, critical care, risk factor

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