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【提要】对于某些漏斗胸患者来说，由于手术本身并不是小手术，因此术前必须对患者的全身状况进行评估和准备。只有这样才能尽可能降低风险，使手术尽可能安全。
随着微创手术概念的引入，漏斗胸手术普遍被当做一个较小的手术。但是，在很多情况下，这种手术不但不是小手术，反而可能是很大的手术。比如成人的漏斗胸手术、再次手术的漏斗胸手术、心脏手术后的漏斗胸手术、极其严重的漏斗胸手术以及合并有锐角畸形的漏斗胸手术等，都是绝对的大手术。既然这些手术都不是小手术，那么手术的风险可想而知。对于医生来说，要想成功化解风险，除了前面提到的种种措施外，还有一个非常重要的措施，就是改善患者的全身状况。对于某些患者来说，这是一个尤为重要的问题。
漏斗胸患者患病时间越长，对心肺功能和其他脏器的损伤越明显。有的严重患者自身会合并一些重要脏器的病变。这些病变可能不会增加手术风险，但有的病变本身就是风险。比如严重的心律失常。当受到手术刺激时，可能直接导致心脏的意外发生，因此术前必须给予纠正。
还有就是心脏自身的其他病变。比如马凡综合征。如果患者有明确的升主动脉瘤，那么漏斗胸本身将会有巨大的风险。这也是需要术前就必须尤其重视的问题。
总的来说，对于某些漏斗胸患者来说，由于手术本身并不是小手术，因此术前必须对患者的全身状况进行评估和准备。只有这样才能尽可能降低风险，使手术尽可能安全。
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