Comprometimento da função pulmonar em pacientes submetidos à cirurgia de rotação de retalho do músculo peitoral para correção de complicaçoes do esterno pós-cirurgia cardíaca / Worsening of Pulmonary Function in Patients Submitted to Muscle Flap Surgery for Treatment of Sternal Wound Complications After Heart Surgery
Arq. bras. cardiol
; 67(4): 243-247, Out. 1996. tab
Artigo
em Português
| LILACS
| ID: lil-319249
Biblioteca responsável:
BR1.1
RESUMO
PURPOSE:
To evaluate pulmonary function of patients submitted to muscle flap for treatment of mediastinitis.METHODS:
Fifteen patients operated with the muscle flap technique were compared with 26 consecutive patients submitted to heart surgery with extracorporeal circulation, that did not present wound complications. Both groups were evaluated for age, sex, body weight, height, surgery, forced vital capacity (FVC), forced expiratory volume in first second (FEV1) and the relation (FEV1/FVC) in absolute and percentual values, espirometry conclusions and clinical evidences of lung disease.RESULTS:
There was no statistical difference between preoperative and postoperative period for FVC (p = 0.98), FEV1 (p = 0.68) and FEV1/FVC (p = 0.30) in the group with no sternal complications. In the control group, the median of FVC was 3907 +/- 1053.25 and in the study group was 2818 +/- 766.86 in absolute values (p = 0.0015). The median of FEV1, in the control group, was 2995 +/- 855.68 and in the study group was 2232 +/- 617.68 in absolute values (p = 0.0046). There was statistical difference, between groups, in FVC (104.78 +/- 21.73 and 82.04 +/- 21.16) and FEV1 (99 +/- 22.67 and 79.04 +/- 19.17) in percentual (p = 0.0026 and 0.0067) values. There was no statistical difference for the ratio FEV1/FVC. The study group had five patients diagnosed as having restrictive ventilatory insufficiency by espirometry against none in the control group (p = 0.0031).CONCLUSION:
Patients with infectious complications of sternum and mediastinum, treated surgically with muscle flap rotation may present restrictive pulmonary insufficiency in moderate degree, that must be considered in this situation.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Esterno
/
Retalhos Cirúrgicos
/
Infecção da Ferida Cirúrgica
/
Procedimentos Cirúrgicos Cardíacos
/
Mediastinite
Tipo de estudo:
Estudo de etiologia
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Português
Revista:
Arq. bras. cardiol
Assunto da revista:
Cardiologia
Ano de publicação:
1996
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Hospital São Francisco da Irmandade Santa Casa de Miscricórdia de Porto Alegre/BR