摘要
目的探讨胸腔镜下肺大泡切除、肺修补术麻醉管理中应注意的问题。方法38例肺大泡患者,ASAⅠ-Ⅱ级,静吸复合麻醉下行胸腔镜肺大泡切除、肺修补术。所有患者均选择双腔管插管（Robertshaw）单肺通气。术中监测NIBP、HR、ECG、Spo2、PETCO2、Paw。结果38例患者均成功完成手术。手术时间平均87（42-146）min,单肺通气时间平均58（34-120）min。术中BP、HR、Spo2平稳。结论良好的麻醉前准备、双腔管的准确定位、单肺通气技术、麻醉医师与手术医师的配合是胸腔镜肺大泡手术成功的关键。
Objective： To analysis some major problems of anesthetic management in patients with bullae undergoing thoracoscopic instrumentation. Methods： 38 patients with bullae （ASA Ⅰ - Ⅱ ） undergoing thoracoscopic instrumentation under general anesthesia were analyzed. All cases were intubated with double- lumen tubes （DLT） and one lung ventilation （OLV） was performed under close monitoring of NIBP, HR, ECG, Spo2, PETCO2, Paw. Results： All the operations were performed successfully. The surgical procedures lasted for 87 minutes and the one - lung ventilation time for 58 minutes. All the operations passed a smooth anesthesia and successful operation. Conclusion： Some factors, such as a good preoperatively, accurate application of DLT and OLV, and close coordination between anesthetists and surgeons, are the keys for a successful surgical of thomcoscopic instrumentation in patients with bullaes.
出处
《华西医学》
CAS
2007年第2期292-293,共2页
West China Medical Journal
关键词
肺大泡
电视胸腔镜
单肺通气
双腔支气管插管
bullae
video- assisted thoracoscopy
one - lung ventilation
double lumen tube
