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《Tumor》 2000-06
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94 CASES OF CARDIAC ARRYTHMIA OCCURRED IN THE POST-OPERATIVE PERIOD OF LUNG CANCER OPERATIONS IN ELDERLY PATIENTS

LI Hong,ZHENG Shi-ying,SHEN Zhen-ya. The First Affiliated Hospital of Suzhou University,Suzhou 215006  
Objective To analyze the cardiac arrhythmia after the operation of lung cancer in elderly patients and to investigate the mechanism of its occurrence and the measures of prevention and treatment. Methods In the period of 1994.2 to 2000.2, 939 cases of lung cancer operation had been done and among them 94 cases of cardiac arrythmia were observed in the post-operative period. The pre-operative factors incuding EKG, pulmonary function and blood oxygen saturation, in the course of operation factors including age, method of anaesthesia and whether totol lung resection done or not, and the post-operative factors as other pulmonary complications were criteria of analysis.Results The rate of occurrence of post-operative cardiac arrythmia was significantly higher in elderly patients (60 yrs.) than those 60 yrs. (28.6% vs 15.6%, P 0 01). Conclusion Age, pre-existing cardiac diseases, low blood oxygen level, total pneumonectomy and other post-operative complications are factors related to the occurrence of cardiac arrythmia. Therefore, pre-operative treatment of cardiac disease, correction of blood oxygen level,strict indication of total pneumonectomy,post-opertive oxygen inhalation and prevention and active treatment of post-operative lung complications are fundamental measures of prevention of its occurrence, and control of ventricular cardiac rate, anti-coagulation treatment and maintainence of sinus cardiac rythm are key points of the treatment of this complication.
【CateGory Index】: R734.2
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