手術後併發急性肺損傷的胃癌病患呼吸照護問題探討

Translated title of the contribution: Postoperative Respiratory Care for Gastric Cancer Patient Complicated with Acute Lung Injury

Yu Ming Chiang, 邊 苗瑛(Mauo-Ying Bien), 黃 淑芬(Shu-Fen Huang), 蕭 秀鳳(Hsiu-Feng Hsiao)

Research output: Contribution to journalArticle

Abstract

Surgical intervention is the common choice of treatment when the gastric cancer cells have spread to the duodenum and pancreatic head. Patients that had received upper abdominal surgery (e.g. Whipple operation) are more likely to have their diaphragm function affected and to develop postoperative pulmonary complications. These patients are likely to develop systemic inflammatory response syndrome (SIRS) and acute lung injury (ALI) complicated with acute respiratory failure easier. Therefore, postoperative respiratory care is critical for these patients.This patient developed an acute lung injury and mixed type respiratory failure post-Whipple operation. The serum concentration of pancreatic amylase increased rapidly postoperatively and was diagnosed as a postoperative infection caused by acute pancreatitis for this patient. This resulted in sepsis, acute pulmonary edema, and then acute lung injury. The respiratory care strategies that the patient had received included maintaining airway patent, applying the appropriate ventilator settings and adjustments, and oxygen support to provide adequate respiratory function and prevent pulmonary complications. The patient was successfully weaned from mechanical ventilation and extubated within 5 days after appropriate management. We will share our care experience with readers.
Translated title of the contributionPostoperative Respiratory Care for Gastric Cancer Patient Complicated with Acute Lung Injury
Original languageTraditional Chinese
Pages (from-to)39-52
Number of pages14
Journal呼吸治療
Volume11
Issue number2
DOIs
Publication statusPublished - 2012

Keywords

  • Acute pancreatitis
  • Sepsis
  • Acute lung injury (ALI)
  • Postoperative respiratory care

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  • Cite this

    Chiang, Y. M., 邊苗瑛(Mauo-Ying B, 黃淑芬(Shu-Fen H, & 蕭秀鳳(Hsiu-Feng H (2012). 手術後併發急性肺損傷的胃癌病患呼吸照護問題探討. 呼吸治療, 11(2), 39-52. https://doi.org/10.6269/JRT.2012.11.2.04