Mitral Kapak Replasmanı Yapılan Olgularda Bir Morbidiite Nedeni Olarak Preoperatiif Havayolu Obstrüksiyonu
GİRİŞ ve AMAÇ: Mitral kapak replasmanı hastalarında, preoperatif solunum fonksiyon testleriyle saptanan hava yolu obstruksiyonunun, postoperatif mekanik ventilasyon süresi ve yoğun bakım yatış süresiyle ilişkisini araştırmayı amaçladık. YÖNTEM ve GEREÇLER: Kliniğimizde mitral kapak replasmanı yapılan 62 ardışık hasta, çalışmaya alındı. Cinsiyet, sistemik hastalık varlığı, sigara kullanımı, solunum fonksiyon testleri, ejeksiyon fraksiyonu, pulmoner arter basıncı, peroperatif kardiyopulmoner baypas ve aort klempi süreleri, postoperatif entübasyon süresi, cerrahi yoğun bakım süresi, preoperatif ve postoperatif labratuar testleri, arter kan gazı değerleri kaydedildi. BULGULAR: Hastaların 47’sine eşlik eden sistemik hastalık mevcuttu. Bunlardan 9'u astım, 8'i kronik obstruktif akciğer hastalığı idi. Solunum yolu hastalığı olanlarda yoğun bakım kalış süresi solunum yolu hastalığı olmayanlardan anlamlı olarak daha düşüktü (p
Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement
INTRODUCTION: We aimed to investigate the relationshipbetween preoperative pulmonary function tests detected byobstruction of the airway and postoperative intubation timewith prolonged intensive care unit stay in patients undergoingmitral valve replacement.METHODS: Sixtytwo consecutive patients undergoing mitralvalve replacement surgery were included. Patients’ gender,presence of systemic disease, smoking history, pulmonaryfunction tests, ejection fraction, pulmonary artery pressure,perioperative cardiopulmonary bypass and aortic clamp time,postoperative intubation time, length of stay in the intensivecare unit, preoperative and postoperative laboratory findings,arterial blood gas values were recorded.RESULTS: In 47 patients systemic concomitant diseases werediagnosed. Nine had asthma, 8 had chronic obstructivepulmonary disease. Length of stay in the intensive care unitwas significantly lower in patients with respirotary diseaseunder treatment than the patients without respirotary disease(p
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