摘要
目的评价双腔支气管导管在胸科手术的临床应用。方法插管时间、定位时间、导管移位例数、侧卧位后气道峰压增加率、方便术侧肺的吸引和供氧、单肺通气和双肺通气可以相互转换例数、肺萎陷程度、具有多种形式的两肺分别通气功能、咽痛声嘶发生率。结果与B组比较,A组导管移位例数、单肺通气和双肺通气可以相互转换例数、方便术侧肺的吸引和供氧、具有多种形式的两肺分别通气功能、肺萎陷程度均降低(P<0.05)。结论双腔支气管插管技术是大多数胸科手术病人首选的肺分隔技术,与单腔支气管堵塞导管相比较,导管移位例数、单肺通气和双肺通气可以相互转换例数、方便术侧肺的吸引和供氧、具有多种形式的两肺分别通气功能、肺萎陷程度均降低。
[ Objective ] To evaluate double lumen catheter in the clinical application of thoracic operation. [ Methods ] The intubation time, location, number of cases, the time of catheter displacement of lateral position after the peak airway pressure increase rate, convenient for the contralateral lung attract and oxygen supply, single lung ventilation and lung ventilation can conversion cases, lung collapse degree, has a variety of forms of two lung ventilation function, the incidence of sore throat hoarseness. [ Resluts ] Compared with group B, group A catheter displacement cases, single lung ventilation and lung ventilation can conversion cases, convenient for the contralateral lung attract and oxygen, with a variety of forms of two lung ventilation function, lung collapse degree decreased （ P 〈 0.05）. [ Conclusion ] Double lumen endobronchial intubation technique is most thoracic operation patients preferred lung separation technology, and single cavity bronchial blocked catheters compared, catheter displacement cases, single lung ventilation and lung ventilation can conversion cases, convenient for the contralateral lung attract and oxygen, lung, two respectively collapse degree decreased. with a variety of forms of pulmonary ventilatory function of the
出处
《中国医学工程》
2012年第7期27-28,共2页
China Medical Engineering
关键词
双腔支气管导管
肺分隔技术
胸科手术的临床应用
double lumen endobronchial tube
lung separation technology in thoracic operation
clinical application.
