气道管理新进展.pptVIP

Disclosure COvidiEN Mark procyshyn, RRT Nellcor is the Puritan Bennett m Senior Regional Airox Marketing Manager Mallinckrodt m for Covidiens DAR Respiratory Division Shiley in Asia Outline: What are postoperative pulmonary complications?何为术后肺部并发症 What is their significance in terms o ncidence?发生率? Clinical outcomes?临床结果? Postoperative Pulmonary Complications 术后肺部并发症 These complications range from minor, self-limited conditions to major disease states with significant morbidity and mortality 这些并发症小至自限性疾病,大至具有较高发病率和死亡率的疾病。 The most commonly cited examples in the clinical literature are 在医学文献中最常见引用的并发症是 Pneumonia肺炎 Respiratory failure呼吸衰竭 Atelectasis肺不张 Acute exacerbation of chron disease慢性肺部疾病的急性加重 Other prominent examples include ARDS, bronchospasm tracheobronchitis and perioperative hypoxia 其他突出的并发症包括:ARDs,支气管痉挛,支气管炎,术中低氧血症 Arozullah et al. An ECOVIDIEN Outline: What are postoperative pulmonary complications?何为术后肺部并发症 What is their significance in terms of ncidence?发生率? Clinical outcomes? Postoperative Pulmonary Complications Are Surprisingly Common 术后肺部并发症十分常见 Summary of studies investigating incidence of postoperative pulmonary complications by surgical site, as per systematic literature review in 2006 2006年不同部位外科手术后术后肺部并发症发生率研究的概要 Reported Surgical site complication rate Studies, n AAA repair腹主动脉瘤切除术 25.5% Esophagectomy食道切除术 189% Abdominal surgery腹部手术 14.2% Head and neck surgery头颈部手术 10.3% Hip surgery髋部手术 Gynecologic/Urologic procedures 妇科/泌尿科操作 Multiple studies show the high incidence of postoperative pulmonary complications 多项研究先提示术后肺部并发症的发生率较高 ECOVIDIEN Smetana et al. Ann Inten Med 2006: 144: 581-95 Postoperative Pulmonary Complications Deserve Equal Attention with Perioperative Cardiac Complications 术后肺部并发症应与术中心脏并发症一样引起重视 Retrospective multicenter cohort study of 8, 930 patients 60 years or older for hip surgery 针对8930例60岁以上髋部手术患者的多中心回顾性队列研究, Complication Incidence 30-day mortality 1-year mortality 严重的心血管疾病 2.0% 22% Serious pulmonary 严重的肺部疾病 2.6% 17% 4