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. 2017 Apr 20;20(4):239–247. [Article in Chinese] doi: 10.3779/j.issn.1009-3419.2017.04.03

1.

肺部并发症诊断标准

The criterion of postoperative pulmonary complications (PPC)

PPC Criterion
CT: computed tomography; CR: computed radiography; ARDS: acute respiratory distress syndrome; SpO2: oxygen saturation.
Postoperative
pneumonia
① Fever as seen by raised oral temperature of >38 ℃ in the postoperative 72 h; or temperature rise again after 72 h;
② High WBC count (open >15×109, VATS >12×109) or rises again over 72 h;
③ Increasing consolidation of the lung or patchy shadows in CT/CR image(s);
④ Positive signs of infection on sputum microbiology.
Pulmonary embolism ① Pulmonary artery angiography showing embolism;
② Dyspnea or SpO2 < 90%; remission after using anticoagulant.
Chylothrax ① Raily drainage volume >500 mL, and the last 3 d or more;
② Time of fasting≥5 d;
③ Requiring surgical treatment.
Aerodermectasia ① Persisting >15 d, exceeding over half chest wall;
② requiring subcutaneous incision or surgical treatment.
Hemoptysis ① Persisting >3 d and inefficacy of pharmacological treatment;
② Requiring surgical treatment.
Voice hoarse ① Choking cough with drinking;
② Plicavocalis paralysis or dislocation of cricoarytenoid joint.
Bronchopleural fistula Bronchofiberscope showing bronchopleural fistula.
Air leak ① Persisting >15 d;
② Needing interventions like re-indwelling drainage tube;
③ Vacuum suction (>7 d), or surgical treatment.
Pleural effusion/ pneumothorax ① Drainage time >15 d, ordyspneic;
② Requiring re-indwelling drainage tube.
Atelectasis ① Atelectasis/consolidation in CT/CR image(s);
② Presenting dyspnea or SpO2 < 90% on room air.
ARDS/Respiratory failure Needing trachea cannula and/or ventilator maintenance or intensive care.