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《Chinese Journal of Lung Cancer》 2003-05
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Evaluation of cardiopulmonary exercise test on predicting post-operative respiratory failure in patients with lung cancer

LI Qi, CAO Min, ZHANG Guohong, SUN Guixin, DONG Botao, RUAN Hongyun, WANG Zhiru. Cardiopulmonary Laboratory, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing 101149, P.R.China  
Objective To evaluate the clinical significance of predicting post operative respiratory failure in patients with lung cancer using cardiopulmonary exercise test (CPET). Methods Before operation, 260 patients with lung cancer underwent CPET with incremental protocol. W%, O 2%P, O 2/kg, AT, MET, O 2 pulse, V Te, BF and E were measured in the end of load exercise. Results (1) In patients after pneumonectomy, the values of the above indexes of CPET in the respiratory failure group were significantly lower than those in the non respiratory failure group ( P 0.05 or P 0.01) except V Te. In patients after lobectomy, the values of 9 indexes of CPET in the respiratory failure group were similar to those in the non respiratory failure group ( P 0.05). However, when the patients after lobectomy were further divided into groups of upper and lower lobectomy, W% in the respiratory failure group was remarkably lower than that in the non respiratory failure group after lower lobectomy ( P 0.05). (2) χ 2 test showed that abnormality of CPET indexes in different degrees was related to the morbidity of respiratory failure after pneumonectomy. Logistic regression showed that O 2 pulse80% and BF30/min correlated with the morbidity of post operative respiratory failure. (3) For predicting post operative respiratory failure, the sensitivity and specificity of O 2%P60%, BF30/min, E35 L/min were all more than 60% and their negative predictive values were all more than 90%. Conclusion CPET is suitable to predict post pneumonectomy respiratory failure. As a comprehensive index indicating cardiopulmonary function during exercise, O 2%P60% should be selected to predict respiratory failure and evaluate indication of lung resection for patients with lung cancer.
【CateGory Index】: R734.2
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【References】
Chinese Journal Full-text Database 2 Hits
1 LIU Zhidong, XU Shaofa, QIN Ming, ZHAO Liqiang, LI Fugen, DUAN Yong, LIAN Zikun. Department of Thoracic Surgery, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing 101149, P.R.China;Resection and reconstruction of carina in the treatment of advanced lung cancer involving carina[J];Chinese Journal of Lung Cancer;2004-05
2 CAO Min,LI Qi,XIE Ru-Ming,DONG Bo-Tao,WANG Zhi-Ru,SUN Gui-Xin,ZHANG Guo-Hong,RUAN Hong-Yun.Cardiopulmonary laboratory,Chest Hospital of Beijing City,Beijing101149,China;The clinical significance of predicting post-operative respiratory failure with cardiopulmonary exercise test in the patients of lung cancer with the vessels invaded by tumors[J];Journal of Clinical Pulmonary Medicine;2009-09
【Citations】
Chinese Journal Full-text Database 1 Hits
1 CAO Min, LI Qi, ZHANG Guohong, SUN Guixin, WANG Zhiru, RUAN Hongyun, DONG Botao. Department of Heart Lung Function, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing 101149, P.R.China;Observation on the characteristics and influencing factors of cardio-pulmonary function in patients with lung cancer[J];Chinese Journal of Lung Cancer;2002-06
【Co-citations】
Chinese Journal Full-text Database 2 Hits
1 Shen Xi aodong,Changning Central Ho spital,Shangnai 200336Ni Guoxing,Huadong Ho spital,Shanghai 200040,China[;ANALYSIS OF PRE-AND POSTOPERATIVE ARTERIAL BLOOD OXYGEN DURING THORACIC SURGERY IN THE ELDERLY[J];Gereatrics & Health Care;2002-03
2 CAO Min,LI Qi,XIE Ru-Ming,DONG Bo-Tao,WANG Zhi-Ru,SUN Gui-Xin,ZHANG Guo-Hong,RUAN Hong-Yun.Cardiopulmonary laboratory,Chest Hospital of Beijing City,Beijing101149,China;The clinical significance of predicting post-operative respiratory failure with cardiopulmonary exercise test in the patients of lung cancer with the vessels invaded by tumors[J];Journal of Clinical Pulmonary Medicine;2009-09
【Co-references】
Chinese Journal Full-text Database 10 Hits
1 Xu Jinliang, Yu Qingkai, Jiang Hong, et al. Department of Thoracic Surgery, Henan Cancer Hospital, Zhengzhou, Henan 450003, P.R.China;A clinicopathological study on bronchoplasty in the treatment of lung cancer[J];;1999-01
2 LIU Lunxu, ZHOU Qinghua, YANG Junjie, ZHAO Yongfan, WANG Yun, WU Zhu, SHI Yingkang. Department of Thoracocardiac Surgery, The First University Hospital, West China University of Medical Sciences, Chengdu, Sichuan 610041, P.R.China;Experience in carinal resection and reconstruction in the treatment of carinal tumor and bronchogenic carcinoma (A report of 35 cases)[J];Chinese Journal of Lung Cancer;2001-03
3 CAO Min, LI Qi, ZHANG Guohong, SUN Guixin, WANG Zhiru, RUAN Hongyun, DONG Botao. Department of Heart Lung Function, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing 101149, P.R.China;Observation on the characteristics and influencing factors of cardio-pulmonary function in patients with lung cancer[J];Chinese Journal of Lung Cancer;2002-06
4 MIAO Jingtao , ZHOU Han, ZHU Peiju, BAI Hongli, HU Yingchuan, ZHOU Qinghua. Radiology Department, The First Affiliated People's Hospital, Medical School, Shanghai Jiaotong University, Shanghai 200080, P.R.China;CT and MRI findings of cancerous invasion of the main pulmonary artery in lung cancer: the correlation with pathologic features and the value in making surgical plan[J];Chinese Journal of Lung Cancer;2003-01
5 LIU Tianxing, DONG Mei, ZHANG Yongmin. Department of Radiation Oncology, The 304th Clinical Division of PLA General Hospital, Beijing 100037, P.R.China;Therapeutic effect of three dimensional conformal radiotherapy in patients aged 65 years and older with non-small cell lung cancer[J];Chinese Journal of Lung Cancer;2006-05
6 XU Wen,CHEN Shao-xian.Department of Respiratory Disease,The First Affiliated Hospital,Wenzhou Medical College,Wenzhou 325003,China;Progress in diagnosis and treatment of lung cancer in the elderly[J];International Journal of Internal Medicine;2007-02
7 TIAN HaifengDepartment of Thoracic Surgery,Henan Provancial People's Hospital,Zhengzhou 450003,China;Etiology and Management for Postoperative Complications in Elder Patients with 42 Lgun Cancer Cases[J];Journal of Medical Forum;2006-16
8 ZHANG Ming-qiu~*, ZHAO Dong-ju, YANG Rui-min, LI Fen-bao (Imaging and Interventional Centre, the First Affiliated Hospital of Xinxiang Medical College, Weihui 453100, China);Therapeutic efficacy of radiofrequency ablation combining bronchial artery infusion in lung cancer of the old[J];Chinese Journal of Interventional Imaging and Therapy;2006-01
9 HUANG Ping LUO Zhanxiong ZHU ZhouDepartment of Digestion, the 5th Affiliated Hospital of Guangxi Medical University Liuzhou People's Hospital, Liuzhou, Guangxi, 545221 China;Vinorelbine plus oxaliplatin in treatment of advanced non-small-cell lung cancer[J];Journal of Clinical Pulmonary Medicine;2006-03
10 XIAO YapinDepartment of Oncology, The 6th Affiliated Hospital, Jinan University, Jiangmen, Guangdong,59000, China;Clinical observation of Aidi infection combined chemotherapy in treatment of advanced non-small cell lung cancer[J];Journal of Clinical Pulmonary Medicine;2006-03
【Secondary References】
Chinese Journal Full-text Database 2 Hits
1 YU Zu-bin,YAO Ke,ZHANG Guo-qiang,MIN Jia-xin,XIANG Ming-zhang (Department of Thoracic Surgery,Xinqiao Hospital,Third Military Medical University,Chongqing 400037,China);The peroperative period treatment of elderly patients with lung cancer[J];Laser Journal;2009-03
2 TAO Yong,CHEN Ronglin,LI Yong,et al Department of Thoracic Surgery,The Second People's Hospital,WuHu,AnHui 241000;Surgical treatment for lung cancer in the 60 elderly patients[J];Journal of Clinical Pulmonary Medicine;2007-11
【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 ;Application of Cardiopulmonary Exercise Test in the Respiratory System[J];China Comtemporary Medicine;2000-05
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