Objective To investigate the postoperative treatment of pleuropneumonectomy for tuberculosis destroyed lung in ICU, in order to improve the therapeutical efficacy for these patients. Methods Clinical data of 52 patients who suffered from tuberculosis destroyed lung and underwent pleuropneumonectomy from June 2008 to June 2010 were analyzed retrospectively. All of subjects received routine treatment in ICU after the operation. Meanwhile，appropriate targeting treatments were applied including diagnosis and treatment of postoperative bleeding; application of fiberbronchoscope to aspirate the sputum after the operation,sequential non-invasive ventilation after the invasive ventilation for acute respiratory failure after operation ,etc.Results A total of 52 patients received the pleuropneumonectomy operation. Bleeding occurred in 11 cases after operation and stopped after the integrated therapy. 8 patients suffered from acute respiratory failure and attenuated after sequential ventilation. No patients died for postoperative bleeding or acute respiratory failure. Conclusions Patients who suffered from tuberculosis destroyed lung and received pleuropneumonectomy with postoperative bleeding and acute respiratory failure have a good prognosis after appropriate postoperative treatment in ICU.
阻塞性睡眠呼吸暫停低通氣綜合征( OSAHS) 是心血管疾病的獨立危險因素[1,2 ]。睡眠過程中反復發生氧飽和度降低和頻繁覺醒是心血管損傷的病理生理基礎。OSAHS 血管損害的早期改變可表現為血管僵硬度增加, 對亞臨床血管病變患者開展早期動脈彈性功能檢測及早進行干預, 可有效預防心血管疾病的發生。本文就常用的無創動脈硬化檢測lt;br /gt;技術及其對OSAHS 心血管損傷的評估相關研究進展進行綜述。