ABSTRACT
Pneumonectomy is mainly used for central primary bronchogenic carcinoma. In order to remove neoplastic tissue to the maximum, one side of the lung tissue needs to be resected.These results in an increased risk of postoperative complications in pneumonectomy compared to lung function preserved lung surgery. But this does not mean that it is the second best thing to abandon its oncology treatment benefits that are unmatched by other surgical methods in the treatment of lung cancer. We should not judge one surgical approach itself but to maxmize its therapeutic benefit through select suitable patients and practice strict perioperative planning. Preoperatively assess the patient's tumor and lymph node status and surgical resectability, cardiopulmonary function, and select the patients who can benefit the most from the operation; Reduce lung injury caused by anesthesia, avoid nerve damage such as phrenic nerve, recurrent laryngeal nerve, vagus nerve branch, etc., reduce the risk factors of anastomotic healing such as blood supply around the anastomosis. Optimize airway management, ventilator management, fluid management, pain management, nutritional support, cardiopulmonary support, spontaneous cough, early activity and other factors in intraoperative and postoperative management. It may be possible to maximize the benifit of a surgical procedure in oncology treatment while avoiding risks.
ABSTRACT
Objective To analyze the relationship between pain sensation, emotion and recognition in three dimensions. Methods By using questionnaires which contained general information questionnaire, Cancer Pain Questionnaire, Self-reporting Inventory (SCL-90), Pain Beliefs and Perceptions Inventory (PBPI) to investigate pain sensation, emotion and recognition of 46 patients with cancer pain. Results There were 13(28.3%) cases sufferd from mild pain,17 (37.0%) cases were moderate pain, 16 (34.8% )cases were severe pain.As to the result of SCL- 90,patients showed obvious symptom in somatization, depression, anxiety and hostility.They holded deep belief of that pain was very mysterious. There was a significant correlation between pain severity and depression(rs=0.377) , anxiety(rs=0.388) on the condition that confidence level was 0.01;there was also a significant correlation between pain degree and interpersonal sensitivity(rs=0.308), hostility(rs=0.320) on the condition that confidence level was 0.05. As to pain beliefs, pain degree had a significant correlation with it in the dimension of pain as mystery (rs=0.529) and pain was persistent(rs=0.680) on the condition that confidence level was 0.01. Conclusions The survey shows a positive correlation between pain severity,emotion of pain(such as anxiety,depression, hostility and interpersonal sensitivity)and beliefs about pain as mystery or permanent.