Elektif abdominal cerrahi olgularında ortaya çıkan postoperatif respiratuar semptomlar ve komplikasyonlar
Küçük Resim Yok
Dosyalar
Tarih
2000
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Çağdaş Cerrahi Derg.
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Öz: Postoperatif morbidite ve mortalitenin en önemli nedenlerinden biri operasyonlardan sonra gelişen pulmoner komplikasyonlardır. Akciğer, kardiyovasküler sistem ve diğer sistem hastalıklarının varlığı, sigara içimi, ileri yaş, obezite, geçirilmiş abdominal operasyon, insizyon yeri ve büyüklüğü, yapılan ameliyatın ve uygulanan anestezinin tipi gibi faktörler postoperatif pulmoner komplikasyonların oranını etkilemektedir. Çalışmamızda, elektif abdominal cerrahi olgularında postoperatif dönemde ortaya çıkan respiratuar semptomların ve komplikasyonların (PORSK) oranı ve sayılan risk faktörleri ile ilişkisi prospektif olarak araştırıldı. Yaşları 24-77 (56.78±12.S6) arasında değişen 24'ü (% 47.1) erkek, 27'si (% 52.9) kadın 51 hasta çalışmaya alındı. Operasyon öncesinde ve postoperatif 7. günde, hastaların semptomları, fizik muayeneleri, solunum fonksiyon testleri (SFT), arter kan gazları (AKG) ve P A akciğer grafileri değerlendirildi. Postoperatif dönemde, operasyon öncesinde var olmayan respiratuar semptomlar (öksürük, balgam, nefes darlığı, göğüs ağrısı, hemoptizi) ve komplikasyon (pnömoni, plörezi, bronşit, atelektazi, pulmoner emboli) oranları araştırıldı. Hastaların cinsiyetleri, meslekleri, obez oluşları, insizyon yerleri, uygulanan anestezi tipleri ile PORSK gelişmesi arasında anlamlı ilişki yoktu (p>0.05). ileri yaş, sigara içimi, preoperatif dönemde respiratuar semptomların varlığı, fizik muayenenin ve solunum fonksiyon testlerinin anormal oluşu ile PORSK gelişimi arasında anlamlı bir ilişki saptandı (p<0.05). Sonuç olarak; 51 hastanın 17'sinde (% 33.3) operasyon öncesinde olmayan respiratuvar semptomlar, 9'unda da (% 17.6) komplikasyon olarak pnömoni gelişti. Çalışmamızda komplikasyon oranı düşük bulundu. Bu durumun, ameliyat ve anestezi süresinin kısalığına ve erken mobilizasyona bağlı olduğu düşünüldü.
Abstract: Pulmonary complications are among the most important causes of postoperative morbidity and mortality. The rate of pulmonary complications changes depending on many factors such as the presence of pulmonary, cardiovascular, and other organ systems, diseases, smoking, older age, obesity, previous abdominal operations, the location and the size of incision, type of the operation and anesthesia. In this study the rate of postoperative respiratory symptoms and complications (PORSC) and their relations with risk factors were prospectively investigated after elective abdominal operations. A total of 51 patients; 24 males (47.1 %), 27females (52.9 %) between the ages of 24 and 77 (56.78±12.56) were included in the study. The history, physical examination, pulmonary function tests (PFT), arterial blood gases (ABC) and PA chest X rays of the patients were evaluated-preoperatively and on postoperative seventh day. The rate of respiratory symptoms (cough, sputum production, chest pain, dyspnea and hemoptysis) which were absent preoperatively and the rate of complications (pneumoniae, pleural effusion, bronchitis, atelectasis, and pulmonary embolism) were investigated. There were no statistically significant correlation between gender, profession, obesity, location of incision, type of anesthesia, and the development of PORSC (p>0.05). There was a significant relation between the rate of PORSC and older age, smoking status, preoperative respiratory symptoms, abnormal findings in physical examination, and abnormalities in PFT (p<0.05). As a result; 17 (33.4 %) of the 51 patients developed postoperative respiratory symptoms, while 9 patients (17.6 %) had pneumoniae as a postoperative complication. The rate of postoperative complications was low in our study. It was thought to be due to experience of surgeons, the short duration of the operation and anesthesia, and early mobilization.
Abstract: Pulmonary complications are among the most important causes of postoperative morbidity and mortality. The rate of pulmonary complications changes depending on many factors such as the presence of pulmonary, cardiovascular, and other organ systems, diseases, smoking, older age, obesity, previous abdominal operations, the location and the size of incision, type of the operation and anesthesia. In this study the rate of postoperative respiratory symptoms and complications (PORSC) and their relations with risk factors were prospectively investigated after elective abdominal operations. A total of 51 patients; 24 males (47.1 %), 27females (52.9 %) between the ages of 24 and 77 (56.78±12.56) were included in the study. The history, physical examination, pulmonary function tests (PFT), arterial blood gases (ABC) and PA chest X rays of the patients were evaluated-preoperatively and on postoperative seventh day. The rate of respiratory symptoms (cough, sputum production, chest pain, dyspnea and hemoptysis) which were absent preoperatively and the rate of complications (pneumoniae, pleural effusion, bronchitis, atelectasis, and pulmonary embolism) were investigated. There were no statistically significant correlation between gender, profession, obesity, location of incision, type of anesthesia, and the development of PORSC (p>0.05). There was a significant relation between the rate of PORSC and older age, smoking status, preoperative respiratory symptoms, abnormal findings in physical examination, and abnormalities in PFT (p<0.05). As a result; 17 (33.4 %) of the 51 patients developed postoperative respiratory symptoms, while 9 patients (17.6 %) had pneumoniae as a postoperative complication. The rate of postoperative complications was low in our study. It was thought to be due to experience of surgeons, the short duration of the operation and anesthesia, and early mobilization.
Açıklama
Yıl: 2000Cilt: 14Sayı: 3ISSN: 1016-5118Sayfa Aralığı: 161 - 169Metin Dili:Türkçe
Anahtar Kelimeler
Kaynak
Çağdaş Cerrahi Derg.
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
3
Künye
HASANOĞLU A,ŞEHİTOĞLU M,GÖKIRMAK M,BUT A,ERTAŞ E (2000). Elektif abdominal cerrahi olgularında ortaya çıkan postoperatif respiratuar semptomlar ve komplikasyonlar. Çağdaş Cerrahi Derg., 14(3), 161 - 169.
