Beijing Xiangrui Import and Trade Technology Co., Ltd.

' '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.
'Hemothorax
' 'The incidence of post-operative hemothorax is very low. Postoperative hemothorax is a serious complication that requires emergency treatment and timely re-thoracotomy to stop bleeding if necessary.
'Empyema
' '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.
'Bronchoanastomotic leakage
' 'The most serious complication of lung cancer surgery is to resect the bronchi and then anastomose the bronchi. If the anastomosis is not satisfactory, bronchial anastomotic leakage will occur, which is the most serious complication of lung resection in thoracic surgery. complications.
'Respiratory complications
' 'Such as sputum retention, atelectasis, pneumonia, respiratory insufficiency, etc., especially the elderly and infirm, those with existing chronic bronchitis, and emphysema have a higher incidence rate . Due to wound pain after surgery, patients cannot cough effectively, and accumulation of sputum causes airway obstruction, atelectasis, and respiratory insufficiency. The main preventive measures include
' 'It is necessary to quit smoking for at least half a month before surgery
' 'Patients should learn effective coughing methods under the guidance of doctors before surgery
' 'Adopt the correct posture after surgery, Encourage effective coughing and sputum production. Once pulmonary infection occurs, ultrasonic aerosol inhalation should be used for treatment, or phlegm-reducing drugs should be used to dilute the sputum. Broad-spectrum antibiotics should be administered intravenously according to experience. At the same time, deep sputum should be retained to culture pathogenic bacteria and drug sensitivity. Experiment to control infection in a targeted manner
' 'In addition
Pulmonary edema, pulmonary embolism and acute respiratory failure are complications that occur less frequently, but are more dangerous and often require rescue under surgical care unit conditions.
'Bronchopleural fistula
' 'During lung surgery, bronchial or intrapulmonary secretions contaminate the chest cavity and lead to empyema. At this time, in addition to 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
'Cardiovascular system complications
' 'Stretching stimulation of the mediastinum and hilus, hypokalemia, hypoxia and massive bleeding during surgery for the elderly and frail Common cardiovascular complications that often become its triggers 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
' 'The operator should be careful to operate gently. After surgery, keep the respiratory tract open and provide adequate oxygen/> Closely observe changes in blood pressure and pulse
''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.
' 'Carry out ECG monitoring, and deal with it promptly according to the condition if any abnormality is found.
' 'Elderly patients are often accompanied by latent coronary heart disease, and various stimulations from surgical trauma can cause acute attacks. However, the crisis can be turned around under the close supervision and timely treatment of clinicians.
'Gastrointestinal complications
' 'The vast majority of patients can survive smoothly and there is no need to dwell on them.
'Others
' 'Complications such as postoperative bleeding, urinary retention in patients after anesthesia, abnormal mental state under postoperative psychological pressure, etc., need to be closely observed and dealt with at any time.