The close association between chronic obstructive pulmonary disease (COPD) and lung cancer has long been known. New evidence suggests that there is an inverse relationship between the severity of pulmonary function and the risk of surgery in patients with lung cancer, COPD may play a key role in the incidence of postoperative pulmonary com-plications (PPC) and improving pulmonary function with perioperation airway management has been suggested as a possible preventive PPC. hTis review describes the current understanding and clinical application of perioperation airway management in lung cancer patients with COPD. We summarized that: (1) hTe necessity of perioperation airway management; (2) hTe status and characteristic of inhaled drug in perioperation airway management; (3) hTe clinical value in improving pulmonary function of perioperation airway management; (4) hTe optimum population of peri-operation airway management; (5) hTe problem of perioperation airway management.%肺癌患者均合并不同程度的慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD),而COPD导致的肺功能降低对其能否手术治疗及术后并发症发生具有重要的影响。研究证明围手术期气道管理可以有效改善患者肺功能且减少术后并发症。本文针对近年来气道管理的临床应用现状及进展进行综述,主要有以下几方面:①围手术期气道管理的必要性;②围手术期气道管理的药物治疗现状与特点;③围手术期应用气道管理在改善肺功能中的价值;④围手术期需要气道管理的最佳人群;⑤围手术期气道管理应用存在的问题。
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