Elderly patients with lung cancer after pneumonectomy complications in the prevention of arrhythmia.docVIP

 PAGE \* MERGEFORMAT 8 Elderly patients with lung cancer after pneumonectomy complications in the prevention of arrhythmia Postoperative arrhythmias in patients with chest tumor one of the most common complication, but because of trauma pneumonectomy large, the loss of lung function and more rapid reduction in pulmonary vascular bed to the original half of the affected side after the two sides into the residual cavity pressure does not balanced and easily lead to mediastinal shift, etc., are caused by the body’s respiratory and circulatory system a greater impact, so pneumonectomy compared with lobectomy alone, postoperative arrhythmias have a high incidence of complications and a high perioperative period died rate [1]. Postoperative arrhythmia caused by a variety of reasons, including old age is the most important predisposing factor [2]. This paper reviews the analysis of March 2004 -2,009 years in March in our hospital-line pneumonectomy in 35 cases of elderly patients with preoperative and postoperative data, to explore the causes of arrhythmia in order to provide appropriate care measures, are report are as follows. A clinical data The group of 35 cases, 23 cases were male, female 12 cases; maximum age 84 years, minimum age 68 years old, ≥ 70 years of age in 26 cases, accounting for 74.29%; 29 cases of lung cancer, tuberculosis in 2 cases, bronchiectasis in 3 cases, lung abscess in 1 case, left pneumonectomy in 29 cases, right pneumonectomy, 6; electrocardiogram abnormalities before surgery in 15 cases; 14 cases of postoperative arrhythmia (atrial premature beats in 4 cases, 3 cases of atrial fibrillation, supraventricular tachycardia too fast in 5 cases, ventricular arrhythmia in 2 cases); right pneumonectomy arrhythmia 33.33% (2 / 6 cases), left pneumonectomy cardiac arrhythmia incidence of 17.24% (5 / 29 cases); surgery before ECG abnormal incidence of postoperative arrhythmias and 60.00% (9 / 15 cases); after 6 hours, 8 cases of arrhythmia within