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        고령환자에서 술전후 폐기능 변화에 관한 고찰

        백승완,정규섭,김인세,문이섭 대한마취과학회 1988 Korean Journal of Anesthesiology Vol.21 No.6

        The purpose of this clinical stydy was to cvaluat the postoperative pulmonary function and ventiltory reserve in patients over 60 years of age. The author analysed 40 anesthetic patients who underwen abdominal surgery at the Department of Anesthesiology of Pusan National University Hospital from March 1, 1987 through July 31, 1988. Only those patients who have had normal or nearly normal cardiopulmonary function were selected and those who developed post operative pulmonary complications were excluded from the study. The results were as follows: 1) On the frst postoperative day, the FCC of the upper abdominal surgery group was 44% of the preoperative value, 2.84±0.68 l/sec, and that of the lover abdominal surgery group was 64% of the preoperative balue, 2.88±0.36 l/sec,(p<0.001). 2) On the frst postoperative day, the FEVI of the upper abdominal surgery group was 37% of the preoperative value, 2.24±0.64 l/sec, and that of the lover abdominal surgery group was 51% of the preoperative balue, 2.43±0.31 l/sec,(p<0.001). 3) On the frst postoperative day, the MMEF of the upper abdominal surgery group was 55% of the preoperative value, 2.50±0.36 l/sec, and that of the lover abdominal surgery group was 75% of the preoperative balue, 2.55±0.71 l/sec,(p<0.001). 4) The preoperative FEVI/FVC ratio of the upper abdominal surgery group was 79%, and that of the lower abdominal surgery group was 84%. In the postoperative period, there were no singificant differences between the upper and lower abdominal surgery group. 5) In the upper and lower abdominal surgery groups, postoperative pH and PaCO2 values were found to be changed insignificantly. 6) In the upper and lower abdominal surgery groups, postoperative PaO2 values were found to be decreased significantly (p<0.05).

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