[1]唐 佳,易明亮.肺切除术后持续咳嗽的研究进展[J].医学信息,2022,35(09):50-53.[doi:10.3969/j.issn.1006-1959.2022.09.012]
 TANG Jia,YI Ming-liang.Research Progress of Cough After Pulmonary Resection[J].Medical Information,2022,35(09):50-53.[doi:10.3969/j.issn.1006-1959.2022.09.012]
点击复制

肺切除术后持续咳嗽的研究进展()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年09期
页码:
50-53
栏目:
综述
出版日期:
2022-05-01

文章信息/Info

Title:
Research Progress of Cough After Pulmonary Resection
文章编号:
1006-1959(2022)09-0050-04
作者:
唐 佳易明亮
(1.川北医学院麻醉学系,四川 南充 637000;2.成都市第五人民医院麻醉科,四川 成都 611130)
Author(s):
TANG JiaYI Ming-liang
(1.Department of Anesthesiology,North Sichuan Medical College,Nanchong 637000,Sichuan,China;2.Department of Anesthesiology,Chengdu Fifth People’s Hospital,Chengdu 611130,Sichuan,China)
关键词:
胸腔镜肺叶切除术肺切除术后持续咳嗽
Keywords:
ThoracoscopePulmonary lobectomyCough after pulmonary resection
分类号:
R65
DOI:
10.3969/j.issn.1006-1959.2022.09.012
文献标志码:
A
摘要:
目前我国早期肺癌的治疗已取得突破性进展,对于可耐受手术且无手术禁忌证的患者而言,胸腔镜肺叶切除术已成为治疗早期肺癌的标准术式。但肺叶切除术后易发生咳嗽、感染、心律失常、气胸、乳糜胸、肺栓塞等并发症,而肺切除术后持续咳嗽是其最常见的并发症之一,发病率高达25%~50%。本文就咳嗽的生理机制、肺切除术后持续咳嗽的定义、评估以及手术与麻醉对肺切除术后持续咳嗽的影响作一综述,以期为预防肺切除术后持续咳嗽提供临床参考。
Abstract:
At present, the treatment of early lung cancer in China has made breakthrough progress. For patients who can tolerate surgery and have no surgical contraindications, thoracoscopic lobectomy has become the standard surgical treatment of early lung cancer. However, complications such as cough, infection, arrhythmia, pneumothorax, chylothorax and pulmonary embolism are prone to occur after lobectomy. Among them, cough after pulmonary resection is one of the most common complications after lobectomy, and its incidence is as high as 25%–50%. In this paper, we reviewed the physiological mechanism of cough, the definition and evaluation of cough after pulmonary resection, and the effects of surgery and anesthesia on cough after pulmonary resection, in order to provide clinical reference for the prevention of cough after pulmonary resection after lobectomy.

参考文献/References:

[1]Yoshioka Y,Hayashi S,Hamada A,et al.Metastasis of carcinoma ex pleomorphic adenoma to the brain without previous metastasis to the lungs or bones: a case report[J].Br J Oral Maxillofac Surg,2019,57(9):926-928.[2]吴卫兵,唐立钧,朱全,等.3D-CTA重建肺血管、支气管在胸腔镜复杂肺段切除中应用[J].中国胸心血管外科杂志,2015,31(11):649-652[3]Palade E,Guenter J,Kirschbaum A,et al.Postoperative pain in the acute phase after surgery: VATS lobectomy vs. open lung resection - results of a prospective randomised trial[J].Zentralbl Chir,2014(139 Suppl 1):S59-S66.[4]Sprung J,Roberts RO,Knopman DS,et al.Association of Mild Cognitive Impairment With Exposure to General Anesthesia for Surgical and Nonsurgical Procedures: A Population-Based Study[J].Mayo Clin Proc,2016,91(2):208-217.[5]Widdicombe J,Fontana G.Cough: what’s in a name?[J].Eur Respir J,2006,28(1):10-15.[6]Canning BJ,Chang AB,Bolser DC,et al.Anatomy and neurophysiology of cough: CHEST Guideline and Expert Panel report[J].Chest,2014,146(6):1633-1648.[7]中华医学会,中华医学会临床药学分会,中华医学会杂志社,等.咳嗽基层合理用药指南[J].中华全科医师杂志,2020,19(7):582-592.[8]Sawabata N,Maeda H,Takeda S,et al.Persistent cough following pulmonary resection: observational and empiric study of possible causes[J].Ann Thorac Surg,2005,79(1):289-293.[9]Birring SS,Prudon B,Carr AJ,et al.Development of a symptom specific health status measure for patients with chronic cough: Leicester Cough Questionnaire (LCQ) [J].Thorax,2003,58(4):339-343.[10]Gao YH,Guan WJ,Xu G,et al.Validation of the Mandarin Chinese version of the Leicester Cough Questionnaire in bronchiectasis[J].Int J Tuberc Lung Dis,2014,18(12):1431-1437.[11]中华医学会呼吸病学分会哮喘学组.咳嗽的诊断与治疗指南(2015)[J].中华结核和呼吸杂志,2016,39(5):323-354.[12]林嵘嘉,车国卫,徐志华,等.中文版莱斯特咳嗽问卷的改良及验证[J].中国肺癌杂志,2017,20(7):468-472.[13]Seok Y,Cho S,Lee JY,et al.The effect of postoperative change in bronchial angle on postoperative pulmonary function after upper lobectomy in lung cancer patients[J].Interact Cardiovasc Thorac Surg,2014,18(2):183-188.[14]Lin R,Che G.Risk factors of cough in non-small cell lung cancer patients after video-assisted thoracoscopic surgery[J].J Thorac Dis,2018,10:5368-5375.[15]Huang J,Luo Q,Tan Q,et al.Evaluation of the surgical fat-filling procedure in the treatment of refractory cough after systematic mediastinal lymphadenectomy in patients with right lung cancer[J].J Surg Res,2014,187(2):490-495.[16]Achilleos A.Evidence-based evaluation and management of chronic cough[J].Med Clin North Am,2016,100(5):1033-1045.[17]慕腾,姜冠潮,李晓,等.胸腔镜肺切除术后持续咳嗽的多因素分析[J].中国微创外科杂志,2017,17(7):577-580.[18]Dicpinigaitis PV,Chang AL,Dicpinigaitis AJ,et al.Effect of ecigarette use on cough reflex sensitivity[J].Chest,2016,149(1):161-165.[19]Pan LY,Peng LP,Xu C,et al.Predictive factors of cough after uniportal video-assisted thoracoscopic pulmonary resection[J].J Thorac Dis,2020,12(10):5958-5969.[20]程钧,曹隆想,牛越群,等.普胸外科术后慢性咳嗽相关因素分析[J].中华胸部外科电子杂志,2017,4(3):177-180.[21]Lai HC,Huang TW,Tseng WC,et al.Sevoflurane is an effective adjuvant to propofol-based total intraveno us anesthesia for attenuating cough reflex in nonintubat ed video-assisted thoracoscopic surgery[J].Medicine,2018,97(42):e12927.[22]Chen KC,Cheng YJ,Hung MH,et al.Nonintubate d thoracoscopic surgery using regional anesthesia and va gal block and targeted sedation[J].J Thorac Dis,2014,6(1):31-36.[23]Bu L,Yang AR,Peng H,et al.Dividing inferior pulmonary ligament may change the bronchial angle[J].J Surg Res,2016,201(1):208-212.[24]纪林林,李鑫,朱建平,等.保留下肺韧带对胸腔镜下肺上叶切除术后持续性咳嗽的影响[J].天津医药,2019,46(12):1308-1311.[25]Ryu JH,Yom CK,Park DJ,et al.Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy:effects on postoperative laryngopharyngeal symptoms[J].World J Surg,2014,38(2):378-384.[26]Hung MH,Chan KC,Liu YJ,et al.Nonintubated thoracoscopic lobectomy for lung cancer using epidural anesthesia and intercostal blockade:a retrospective cohort study of 238 cases[J].Medicine (Baltimore),2015,94(13):e727.[27]Chen S,Zhu XN,Huang LD,et al.Optimal dose of ropivacaine for relieving cough-pain after video-assisted thoracoscopic lobectomy by single intrapleural injection:a randomized,double-blind,controlled study[J].Int J Surg,2019(69):132-138.[28]Sanders RD,Gaskell A,Raz A,et al.Incidence of connected consciousness after tracheal intubation:A Prospective,International,Multicenter Cohort Study of the Isolated Forearm Technique[J].Anesthesiology,2017,126(2):214-222.[29]Hamaya Y,Dohi S.Differences in cardiovascular response to airway stimulation at different sites and blockade of responses by lidocaine[J].Anesthesiology,2000,93(1):95-103.[30]鲁素红,冯艺.复方利多卡因乳膏在双腔气管插管全身麻醉胸腔镜肺叶切除术中的应用—前瞻性随机对照研究[J].中国微创外科杂志,2019,19(3):197-201.[31]Gonzalez-Rivas D,Fernandez R,de la Torre M,et al.Single-port thoracoscopic lobectomy in a nonintubated patient: the least invasive procedure for major lung resection?[J].Interact Cardiovasc Thorac Surg,2014,19(4):552-555.[32]郝宁,马珏,张光燕,等.非气管插管麻醉在胸腔镜子术中的应用[J].国际麻醉学与复苏杂志,2016,37(3):255-258.[33]尹随,廖远帆,陈子琦,等.非气管插管胸腔镜肺叶切除术中常见问题与应对[J].临床外科杂志,2018,26(3):202-203.[34]Chen Z,Dong Q,Liang L.Effect of different thoracic anesthesia on postoperative cough[J].J Thorac Dis,2018,10(6):3539-3547.[35]李洋,乔辉,杨光.自主呼吸胸腔麻醉与双腔气管导管麻醉对非小细胞肺癌手术患者术后持续咳嗽的影响[J].医学临床研究,2020,20(3):393-369.

相似文献/References:

[1]王俊峰,代 雨,付玉东,等.全胸腔镜与开胸手术治疗创伤性血气胸的对比分析[J].医学信息,2018,31(13):110.[doi:10.3969/j.issn.1006-1959.2018.13.032]
 WANG Jun-feng,DAI Yu,FU Yu-dong,et al.Comparative Analysis of Total Thoracoscopy and Thoracotomy in the Treatment of Traumatic Hemothorax[J].Medical Information,2018,31(09):110.[doi:10.3969/j.issn.1006-1959.2018.13.032]
[2]王俊峰,代 雨,付玉东,等.全胸腔镜与开胸手术治疗肋骨良性肿瘤的疗效对比分析[J].医学信息,2018,31(16):181.[doi:10.3969/j.issn.1006-1959.2018.16.058]
 WANG Jun-feng,DAI Yu,FU Yu-dong,et al.Comparison of Curative Effect between Total Thoracoscopy and Thoracotomy in the Treatment of Rib Benign Tumor[J].Medical Information,2018,31(09):181.[doi:10.3969/j.issn.1006-1959.2018.16.058]
[3]王俊峰,代 雨,阚强波,等.全胸腔镜与开胸手术治疗孤立性肺小结节的对比分析[J].医学信息,2018,31(18):74.[doi:10.3969/j.issn.1006-1959.2018.18.022]
 WANG Jun-feng,DAI Yu,KAN Qiang-bo,et al.Comparative Analysis of Total Thoracoscopic and Thoracotomy in the Treatment of Solitary Pulmonary Nodules[J].Medical Information,2018,31(09):74.[doi:10.3969/j.issn.1006-1959.2018.18.022]
[4]王彬彬.胸腔镜下肺癌手术时单肺通气的临床麻醉分析[J].医学信息,2019,32(24):113.[doi:10.3969/j.issn.1006-1959.2019.24.039]
 WANG Bin-bin.Clinical Anesthesia Analysis of Single Lung Ventilation during Thoracoscopic Lung Cancer Surgery[J].Medical Information,2019,32(09):113.[doi:10.3969/j.issn.1006-1959.2019.24.039]
[5]叶华平.胸腔镜下同期双侧术治疗单侧气胸合并双侧肺大疱的应用[J].医学信息,2020,33(07):121.[doi:10.3969/j.issn.1006-1959.2020.07.038]
 YE Hua-ping.Thoracoscopic Spontaneous Bilateral Surgery for Unilateral Pneumothorax Combined with Bilateral Pulmonary Bullae[J].Medical Information,2020,33(09):121.[doi:10.3969/j.issn.1006-1959.2020.07.038]
[6]郭 莹,鲍文华,孙 涛,等.胸腔镜下胸腔积液患者胸膜形态特征及其诊断价值[J].医学信息,2020,33(09):182.[doi:10.3969/j.issn.1006-1959.2020.09.059]
 GUO Ying,BAO Wen-hua,SUN Tao,et al.Pleural Morphology and Diagnostic Value of Patients with Pleural Effusion Under Thoracoscopy[J].Medical Information,2020,33(09):182.[doi:10.3969/j.issn.1006-1959.2020.09.059]
[7]黄艳东.罗哌卡因复合亚甲蓝椎旁阻滞对胸腔镜肺段切除手术患者血流动力学及术后镇痛的影响[J].医学信息,2023,36(10):105.[doi:10.3969/j.issn.1006-1959.2023.10.023]
 HUANG Yan-dong.Effects of Ropivacaine Combined with Methylene Blue Paravertebral Block on Hemodynamics and Postoperative Analgesia in Patients Undergoing Thoracoscopic Segmentectomy[J].Medical Information,2023,36(09):105.[doi:10.3969/j.issn.1006-1959.2023.10.023]
[8]卢 静.术前呼吸训练联合快速康复外科护理对肺叶切除术患者肺功能恢复的影响[J].医学信息,2023,36(13):166.[doi:10.3969/j.issn.1006-1959.2023.13.037]
 LU Jing.Effect of Preoperative Respiratory Training Combined with Rapid Rehabilitation Surgical Nursing on Pulmonary Function Recovery in Patients Undergoing Lobectomy[J].Medical Information,2023,36(09):166.[doi:10.3969/j.issn.1006-1959.2023.13.037]
[9]徐闻霞,陆红艳,黄 斌.胸腔镜肺叶切除和肺段切除治疗ⅠA期非小细胞肺癌的疗效比较[J].医学信息,2018,31(21):100.[doi:10.3969/j.issn.1006-1959.2018.21.027]
 XU Wen-xia,LU Hong-yan,HUANG Bin.Comparison of Thoracoscopic Lobectomy and Segmentectomy for ⅠA Non-small Cell Lung Cancer[J].Medical Information,2018,31(09):100.[doi:10.3969/j.issn.1006-1959.2018.21.027]

更新日期/Last Update: 1900-01-01