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,r / rr ,, br b Complications after lung cancer surgery are closely related to the patient's own body factors and the scope and method of surgery. It makes people speechless and helpless. When encountering this kind of situation, you must deal with it in time. Failure to deal with postoperative complications of lung cancer in a timely manner will have a serious impact on the patient's postoperative recovery, and some serious postoperative complications may even endanger the patient's life. So what are the complications of lung cancer surgery? How should it be treated? The following is a detailed introduction to the complications and treatments after lung cancer surgery for the reference of patients who choose surgical treatment options.
r ,r / rr ,, br b < r br bHemothorax
,r / rr ,, br b The incidence of postoperative hemothorax is very low. Postoperative hemothorax is a serious complication that requires emergency treatment and timely re-thoracotomy to stop bleeding if necessary.
r ,r / rr ,, br b < r br bEmpyema
,r / rr ,, br b Empyema is caused by bronchial or pulmonary secretions contaminating the chest cavity during surgery. In addition to effective antibiotic treatment, timely and thorough thoracentesis and pus extraction should be performed during treatment. If the effect is not satisfactory, closed chest drainage can be considered.
r ,r / rr ,, br b < r br b Bronchial anastomotic fistula
,r / rr ,, br b The most serious complication of lung cancer surgery. Lung cancer surgery requires bronchial resection and then anastomosis of the bronchus. , If the anastomosis is not satisfactory, bronchial anastomotic leakage is the most serious complication of lung resection in thoracic surgery.
r ,r / rr ,, br b < r br bRespiratory complications
,r / rr ,, br b Such as sputum retention, atelectasis, pneumonia, respiratory insufficiency, etc., especially in the elderly Weak people with existing chronic bronchitis and emphysema have a higher incidence rate. Due to post-operative wound pain, the patient was unable to cough effectively, and accumulation of sputum caused airway obstruction, atelectasis and respiratory insufficiency. The main preventive measures are
,r / rr ,, br b You need to quit smoking for at least half a month before surgery
,r / rr ,, br b Before surgery, patients should learn effective coughing methods under the guidance of a doctor
,r / rr ,, br b Maintain a correct posture after surgery and encourage effective coughing and sputum production. Once lung infection occurs, ultrasonic atomization inhalation treatment should be used, or phlegm-reducing drugs should be administered intravenously to dilute sputum based on experience. Broad-spectrum antibiotic treatment, while leaving deep sputum to culture pathogenic bacteria and drug sensitivity testing to control infection in a targeted manner
,r / rr ,, br b < r br bIn addition
Pulmonary edema, pulmonary embolism and Acute respiratory failure is a rare complication, but it is more dangerous and often requires rescue under surgical care unit conditions.
r ,r / rr ,, br b < r br bBronchopleural fistula
,r / rr ,, br b During lung surgery, bronchial or pulmonary secretions contaminate the chest cavity and lead to empyema. In addition to choosing effective antibiotic treatment, timely and thorough thoracentesis is extremely important. For patients with poor results, closed chest drainage may be considered. Cancer remains in the bronchial stump after pneumonectomy. Hypoalbuminemia and improper surgical procedures may lead to poor healing of the bronchial stump or the formation of fistulas after surgery. In recent years, the occurrence of such complications has been greatly reduced
r ,r / rr ,, br b < r br bCardiovascular system complications
,r / rr ,, br b The elderly and frail During surgery, the traction of the mediastinum and hilus stimulates hypokalemia, hypoxia, and massive bleeding, which are often the triggers. Common cardiovascular complications include post-operative hypotension, arrhythmia, cardiac tamponade, heart failure, etc. For elderly patients and those who have heart disease and low cardiac function before surgery, the indications for surgery should be strictly controlled, as follows
, r / rr,, br b Operators should pay attention to gentle operation. After surgery, keep the respiratory tract open and provide adequate oxygen. Closely observe changes in blood pressure and pulse
, r / rr,, br b. Replenish blood volume in a timely manner. The infusion rate after surgery should be slow and balanced to prevent excessive overdose from inducing pulmonary edema.
,r / rr ,, br b Carry out ECG monitoring, and deal with it promptly according to the condition if any abnormality is found.
,r / rr ,, br b Elderly patients are often accompanied by hidden coronary heart disease. Various stimulations from surgical trauma can cause acute attacks, but the crisis can be turned around under the close supervision and timely treatment of clinicians.
r ,r / rr ,, br b < r br bGastrointestinal complications
,r / rr ,, br b The vast majority of patients can survive smoothly and will not be described again.
r ,r / rr ,, br b < r br bOthers
,r / rr ,, br b Complications such as postoperative bleeding, urinary retention in patients after anesthesia, abnormal mental state under postoperative psychological pressure, etc. It needs to be observed closely and dealt with at any time.