How to reduce postoperative pulmonary complications in elderly patients-.docVIP

 PAGE \* MERGEFORMAT 5 How to reduce postoperative pulmonary complications in elderly patients? Elderly patients with postoperative pulmonary complications (postoperative pulmonary complications, PPCs), including atelectasis, pneumonia, bronchitis, respiratory dysfunction than the incidence of cardiovascular complications (cardiovascular complications, CVCs) high, seriously affecting post-operative rehabilitation, additional medical staff in labor and medical costs, a heavy burden on family and society, but also in elderly patients perioperative mortality important reasons. Clinical anesthesia is often the importance of non-cardiac surgery, prevention and control CVCs, in fact the incidence of PPCs than CVCs high, and the length of stay and medical costs than those in CVCs and more doctors should arouse a high degree of attention to anesthesia. 1, PPCs incidence of one. Overseas Data: Postoperative pulmonary complications, including postoperative pulmonary concurrent events (pneumonia, bronchospasm, atelectasis, etc.) and respiratory failure, its incidence due to age, surgical site and anesthesia factors such as a different way. Filardo Fde A such reports 283 cases of abdominal surgery on 69 cases occurred in patients with PPCs, incidence rate: 24.4% [1]. A large multi-center retrospective survey showed that 8930 cases over 60 years old hip surgery in 1737 there appeared PPCs, the incidence was 19%, of which the incidence of respiratory failure was 2.6%, the same group of patients with concurrent cardiovascular disease is 2% [2]. Associated with COPD, patients have a higher incidence of PPCs, 105 severe COPD patients, 37% occurred in PPCs [3]. Similarly, a small sample of COPD patients (59 people) also have 33.7% of patients the incidence of PPCs [4]. 2. Domestic data: four medical centers submitted a total of 2146 valid cases in which respiratory dysfunction were 66 people, the incidence of 3.08% of their research results show that the history of coronary he