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《Chinese Journal of Clinical Healthcare》 2012-01
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Multivariate analysis risk factors associated with postoperative pulmonary complications following upper abdominal surgery in elder patients and nursing

WANG Jing,CHEN Xi,LI Wen-bing(International Medical Research Center of South Building,PLA General Hospital,Beijing 100853,China)  
Objective To determine the influence of possible perioperative risk factors on the development of postoperative pulmonary complications(POPC) after upper abdominal surgery(UAS) in elder patients.Methods A prospective survey of 167 consecutive elder patients was conducted who underwent elective UAS in a geriatric surgical unit.Each patient's preoperative was assessed including clinical examination,PaO2 and PaCO2 analysis,chest radiographs;operation time,duration of nasogatric catheter and mobilization time also were noted.Results Postoperative pulmonary complications were observed in 77 patients(45.6%).The most common complication was pneumonia(26.0%),followed by atelectasis,bronchitis,brchochospasm,pulmonary emboli and acute respiratory failure.By multivariate analysis,postoperative nasogastric intubation,preoperative respiratory symptoms;longer anesthesia duration were the most valuable risk factors for prediction of POPC.Conclusions We recommend a detailed pulmonary examination and spirometry in elder patients who will undergo UAS to identify the patients at high risk for POPC,which may help to manage perioperative care and decrease the risk of POPC.
【Fund】: 解放军总院科技创新苗圃基金项目(09KMM16)
【CateGory Index】: R473.6
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