中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (02): 129-131.

• 专题笔谈 • 上一篇    下一篇

代谢性疾病病人围手术期呼吸功能管理

刘金钢,王    勇   

  1. 中国医科大学附属盛京医院普外科,辽宁沈阳110004.
  • 出版日期:2011-02-01 发布日期:2011-05-30

  • Online:2011-02-01 Published:2011-05-30

摘要:

代谢性疾病是指人体代谢障碍所引起的一系列疾病,传统上以内科治疗为主,且治疗效果参差不齐。20世纪80年代末减肥手术治疗肥胖症及2型糖尿病代谢性疾病在临床逐步开展,并显示出优势。此类病人多合并有心血管及呼吸系统疾病,密切关注围手术期的呼吸功能变化,重视呼吸系统管理尤为重要。

关键词: 代谢性疾病, 围手术期, 呼吸功能, 减肥手术, 腹腔镜

Abstract:

Perioperative management of respiratory function in metabolic diseases        LIU Jin-gang,WANG Yong. Department of General Surgery, Shengjing Hospital, China Medical University, Shenyang 110004,China
Corresponding author:LIU Jin-gang,E-mail:liujg51347@hotmail.com
Abstract    Metabolic diseases refer to a series of disorders caused by metabolic problems, which were traditionally treated by internal medicine. However, from the late 1980s, bariatric surgery broke through the tradition and many morbid obese patients combined with type 2 diabetes mellitus (T2DM) were cured. Nowadays, laparoscopic bariatric surgery, which is representative of surgical method that intervenes in metabolic diseases, has been widely used in clinical medicine. Nevertheless, the patients usually combine with other systematic diseases such as cardiovascular or respiratory disease. Respiratory disorders are frequently closed to the perioperative outcomes for the reason that the respiratory functions are usually poor before the operation, and have their own characteristics. So it is necessary for us to propose key on the facet.

Key words: perioperative period, respiratory function, bariatric surgery, laparoscopy, metabolic disease