Evaluation of cardiopulmonary exercise test on predicting post-operative respiratory failure in pati...
Evaluation of cardiopulmonary exercise test on predicting post-operative respiratory failure in patients with lung cancer
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LI, Qi , CAO, Min , ZHANG, Guohong , SUN, Guixin , DONG, Botao , RUAN, Hongyun and WANG, Zhiru
Publisher
Tianjin: Chinese Anti-Cancer Association Chinese Antituberculosis Association
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Language
Chinese
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Tianjin: Chinese Anti-Cancer Association Chinese Antituberculosis Association
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目的 探讨心肺运动试验预测肺癌患者术后呼吸衰竭的临床意义.方法 采用运动负荷递增的方案对260例原发性肺癌患者行术前心肺运动试验,测定终止负荷运动时的功率(W%)、最大摄氧量(O2%P)、公斤氧耗量(O2/kg)、无氧阈(AT)、代谢当量(MET)、氧脉搏(O2 pulse)、潮气量(VTe)、呼吸频率(BF)、通气量(E).结果 (1)除VTe外,全肺切除术后呼衰组其余八项指标均显著低于非呼衰组(P 0.05),将肺叶切除患者分为上叶切除和下叶切除组分析时发现,仅下叶切除术后呼衰组W%低于非呼衰组(P 60%,阴性预测值均大于90%.结论 心肺运动试验更适于预测全肺切除术后呼衰的可能性,由于O2%P是一项反映运动心肺功能的综合指标,建议选择O2%P < 60%作为预测术后呼衰、评估手术适应...
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Full title
Evaluation of cardiopulmonary exercise test on predicting post-operative respiratory failure in patients with lung cancer
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TN_cdi_proquest_journals_2127747688
Permalink
https://devfeature-collection.sl.nsw.gov.au/record/TN_cdi_proquest_journals_2127747688
Other Identifiers
ISSN
1009-3419
E-ISSN
1999-6187
DOI
10.3779/cjlc.v6i5.2814
