重症慢性阻塞性肺疾病患者COVID-19后肺癌切除术1例

Shumpei Kato MD , Takashi Sakai MD, PhD , Megumi Kusano MD , Satoshi Koezuka MD, PhD , Yoko Azuma MD, PhD , Akira Iyoda MD, PhD
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引用次数: 0

摘要

关于COVID-19后胸外科手术安全性的证据不足。伴有合并症(包括慢性阻塞性肺疾病)的胸外科患者术后并发症发生率高。在此,我们报告了一名晚期肺癌合并严重肺功能障碍的女性,在COVID-19后检测到慢性阻塞性肺疾病,其1秒内预测用力呼气量的百分比为44.5%,预测肺一氧化碳扩散能力的百分比为38.9%。根治性切除安全进行,围手术期管理包括呼吸物理治疗、吸入治疗和充足的术前等待时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Resection of Lung Cancer After COVID-19 in a Patient With Severe Chronic Obstructive Pulmonary Disease
Evidence regarding the safety of thoracic surgery after COVID-19 is insufficient. The postoperative complication rate is high in patients with comorbidities, including chronic obstructive pulmonary disease, who undergo thoracic surgery. Herein we report a woman with advanced lung cancer associated with severe pulmonary dysfunction with a percentage of predicted forced expiratory volume in 1 second of 44.5% and percentage of predicted diffusion capacity of the lung for carbon monoxide of 38.9% due to chronic obstructive pulmonary disease detected after COVID-19. Curative resection was safely performed with perioperative management including respiratory physiotherapy, inhalation therapy, and adequate preoperative waiting period.
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