呼吸系统疾病术前评估与准备天津医科大学总医院王国林术前评估目的:Identifying patients at risk for complications and then attempting to modify that riskTo decrease perioperative respiratory complication 1.术前评估 2.术前准备 3.麻醉处理 4.术后处理内容1.肺部并发症的危险因素2.术前评估3.术前准备4.麻醉对呼吸系统的影响危险因素Pulmonary complications:Important form of postoperative morbidity after major cardiothoracic and abdominal operations术后呼吸系统并发症:大手术可达:25 50%危危险险因素因素 1.术前状态2.手术部位3.急诊手术术前状态术术前存在呼吸系前存在呼吸系统统疾病、吸烟、疾病、吸烟、肥胖、老肥胖、老龄龄慢性肺部疾患慢性肺部疾患:most significant patient-related risk for