Background and objective: Atelectasis is a common complication after thoracotomy, and it may threaten patients' life if it was not treated correctly and properly. The aim of this article is to explore and discuss the prevention and treatment for atelectasis during the perioperative period, and also to explore new methods for reducing the perioperative mortality due to atelectasis after thoracotomy.
Methods: We retrospectively reviewed the medical records of 374 lung cancer patients who underwent thoracotomy in our department between Jan 2007 and Nov 2009.
Results: Atelectasis occurred in 14 patients among all the 374 lung cancer patients who underwent thoracotomy. All the atelectasis returned to reexpansion after treatment.
Conclusion: The incidence of atelectasis in these series is relatively low compared with the reports in literatures. Good perioperative preparation and perioperative treatment can remarkably decrease the incidence and mortality of atelectasis after thoracotomy in the treatment of lung cancer.
背景与目的: 肺不张是开胸术后的常见并发症，严重时会危及患者生命。本文旨在分析和探讨肺癌患者行开胸术后发生肺不张的原因和围手术期的预防和处理措施，以便降低肺不张的发生率，并提高其治愈率，以进一步降低围手术期死亡率。
方法: 回顾性统计和分析我科因肺癌行开胸手术的374例患者中发生肺不张的资料和处理措施。
结果: 374例肺癌患者行开胸手术后发生肺不张的有14例，经积极有效地治疗后肺不张的肺叶均复张。
结论: 肺癌开胸术后肺不张发生率不高，有效的术前准备、良好的围术期处理和术后治疗可以降低开胸术后肺不张的发生率，提高治愈率。