肺癌术后心律失常的影响因素

摘要

Objective To analyze the influence factors of cardiac arrhythmia after lung cancer operation. Methods 306 patients with lung cancer operation were analyzed to demonstrate the relationship of cardiac arrhythmia and gender, age, smoking, diabetes, FEV1 , ECG before operation, pericardial injury, bleeding volume, electrolyte disturbance and FEV1/FVC. Results Among 306 patients, there were 95 patients with postoperative cardiac arrhythmia (31. 05%). The cardiac arrhythmia was related to ECG before operation, pericardial injury, bleeding volume, electrolyte disturbance and FEV1/FVC. Conclusion Treating the basic diseases before operation, attenuating pericardial injury and bleeding during operation and preventing electrolyte disturbances after operation can reduce the risk of cardiac arrhythmia after lung cancer operation.%目的 探讨肺癌术后心律失常的影响因素.方法 通过回顾性调查306例肺癌手术患者的临床资料,分析肺癌术后心律失常与性别、年龄、吸烟史、糖尿病史、FEV1、术前心电图、术中心包损伤、术中出血量、术后发生电解质紊乱和FEV1/FVC的关系.结果 306例病人术后95例发生心律失常,心律失常发生率为31.05％.心律失常的发生与术前心电图异常、术中心包损伤、术中出血量、术后发生电解质紊乱、FEV1/FVC相关(P＜0.05),与性别、年龄、吸烟史、糖尿病史、FEV1无相关性(P＞0.05).结论 对肺癌患者术前积极治疗心肺基础疾病,术中尽可能减小对心包的损伤,减少出血,术后雾化吸入,保持呼吸道通畅,预防电解质紊乱,可减少心律失常的发生危险.