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目的 探讨心肺危险指数 (CPRI)在预计肺癌切肺术后近期预后中的价值。方法 选择 1999年上海胸科医院胸外科所有肺癌肺切除患者 ,从术前临床资料中计算出心脏危险指数 (CRI)和肺危险指数(PRI) ,二者相加为心肺危险指数 (CPRI) ,分析CPRI在预计肺癌肺切除手术风险中的价值。结果 共行肺切除术 62 5例。术后 49例 (7.8% )发生各种并发症 (包括 8例术后 3 0天内死亡 )。全组CRI、PRI和CPRI范围分别为 1～ 3级、0～ 5级和 1～ 7级。CPRI <4级 489例 ,≥ 4级 13 6例。以CPRI≥ 4级为标准 ,预计肺癌肺切除手术风险的敏感性为 75 .7% ,特异性为 82 .8% ,准确率为 82 .2 %。结论 CPRI可作为肺癌患者肺切除术前预计手术近期预后的一项重要指标 ,但并不能完全预测切肺术后的风险 ,仍需结合其它因素来综合分析
Objective To investigate the value of cardiopulmonary risk index (CPRI) in predicting the short-term prognosis of lung cancer after lung-cutting operation. Methods All patients with lung cancer who underwent thoracic surgery at Shanghai Thoracic Hospital in 1999 were enrolled. The CRI and PRI were calculated from the preoperative clinical data. The two were combined as cardiopulmonary risk index (CPRI) To analyze the value of CPRI in predicting the surgical risk of lung cancer lung resection. Results Total lung resection 62 5 cases. Postoperative complications occurred in 49 patients (7.8%) (including 8 patients died within 30 days after operation). The whole range of CRI, PRI and CPRI were 1 to 3, 0 to 5 and 1 to 7 respectively. There were 489 patients with CPRI <4 and 136 patients ≥ 4. With CPRI ≥ 4 as the standard, the sensitivity of lung cancer resection risk was estimated to be 75.7%, the specificity was 82.8% and the accuracy rate was 82.2%. Conclusions CPRI can be used as an important index for predicting the short-term prognosis of lung cancer patients before lung resection, but it can not completely predict the risk of transurethral resection. Combined with other factors, CPRI should be analyzed comprehensively