Risk factors and prevention for pulmonary complications after transoral operation for the atlantar axis disorders

English Keywords:Transoral-transpharyneal approach  Postoperative pulmonary complications  Related risk factors  Precaution

English Abstract:

  【Abstract】 Objective：To investigate the correlative factors and prevention for postoperative pulmonary complications（PPC） due to atantal-axis disorders.Method：104 patients with atantal-axis disorders were collected from January 2005 to June 2009. Nine variables among patients with PPC and without PPC were analyzed by T test and χ2 test and Logistic regression analysis.Result：Of 104 patients with atantal-axis disorders，23 developed PPCs with a ratio of 22.1%.Significant difference were noted with regard to 8 variables including the duration of intubation（＞4d），the duration of operation（＞6h），The infusion volume during operation（＞3500ml），Frankle grade（A～D），smoking history，hypoproteinemia（serum albumin＜35g/L），hyponatremia（＜135mmol/L），BMI＜18.5 between patients with PPC and without PPC.Conclusion：PPC rate in transoral operation is high.The risk of PPCs can not be ignored and precaution should be taken to lower its occurrence.