Lungresection and the cardiopulmonary reserve

Basson, Elizabeth (1996)

Thesis (PhD)--University of Stellenbosch, 1996.


ENGLISH ABSTRACT: Concomitant pulmonary dysfunction such as airway obstruction, lung fibrosis and/ or pulmonary hypertension limits a patient's cardiopulmonary reserve. It is clear from the literature that the presence of co-existing disease and cardiopulmonary dysfunction places patients undergoing lung resection at increased risk for the development of postoperative complications, prolonged disability and death (Olsen et al, 1989). In the course of the past 36 years numerous attempts have been to clarify the issue of reliable predictions of post-lung resection morbidity and mortality (Olsen et al, 1989). The goal of the present study was to devise a method to predict the success of lung resection in terms of postoperative exercise capacity.

AFRIKAANSE OPSOMMING: Lugweg obstruksie, longfibrose en/of pulmonale hipertensie beperk 'n pasiënt se kardiopulmonale reserwe. Uit die literatuur is dit duidelik dat pasiënte 'n groter risiko het vir die ontwikkeling van postoperatiewe komplikasies, ongeskiktheid en selfs dood, waneer daar bykomend hart- of longsiekte teenwoordig is voor die reseksie van longweefsel (Olsen et al, 1989). Gedurende die afgelope 36 jaar is daar baie pogings aangewend om 'n betroubare indeks te ontwikkel om die morbiditeit en mortaliteit van long reseksie te voorspel. Die doel van die studie was om 'n betroubare model te ontwikkel vir die voorspelling van longreseksie ten opsigte van postoperatiewe oefeningsvermoë.

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