[Effects of laparotomy on respiratory function in patients without and with pre-existing respiratory compromise].
The direct effect of the upper laparotomy on the ventilation were examined in 23 patients without and in 22 patients with preexisting disorders of breathing. During the first 3 postoperative days the parameters FVC and FEV1 were decreased for 50-20% in an inverse relation to the preexisting degree of respiratory dysfunction and the arterial PO2 decreased about 2 kPa (15 mm Hg). Clear hypoxaemia (without hypercapnia) were only found in the group with a high degree of preexisting respiratory dysfunction (FEV1 less than 1.4 l). Especially pretreatment and aftercare are recommended for this patients in the case of laparotomy.
Wenzel
D
D
Bezirkskrankenhaus für Lungenkrankheiten und Tuberkulose Coswig.
Bickhardt
J
J
Protzmann
T
T
D000328:Adult; D000368:Aged; D000403:Airway Resistance / Q000502:physiology; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D005541:Forced Expiratory Volume / Q000502:physiology; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000503:physiopathology* / Q000628:therapy; D008176:Lung Volume Measurements; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D011183:Postoperative Complications / Q000503:physiopathology* / Q000628:therapy; D013147:Spirometry; D014797:Vital Capacity / Q000502:physiology
D010100:Oxygen
Auswirkungen der Laparotomie auf die Atemfunktion bei Patienten ohne und mit respiratorischer Vorschädigung.