摘要
呼吸系统并发症是肥胖患者围手术期常见的并发症,主要与通气不良和肺损伤有关。麻醉医师应充分做好肥胖患者肺功能的术前评估,了解全身麻醉对患者呼吸功能以及血流动力学的影响,根据患者实际情况选择针对性的肺保护性通气方案。本文通过综述肥胖患者呼吸系统病理生理变化、肥胖患者围手术期全身麻醉的影响以及肥胖患者的肺保护性通气策略,旨在探讨如何提高肥胖患者围手术期的氧合指数,改善通气血流不匹配现象,减少或预防呼吸系统并发症的发生,从而提高肥胖患者的远期生存率。
Obese patients are prone to a variety of complications during the perioperative period,mostly respiratory complications,mainly related to poor ventilation and lung injury.As an anesthesiologist,we should do a good job of preoperative assessment of lung function in obese patients,fully understand the impact of general anesthesia on the patient’s respiratory function and hemodynamics,and choose a targeted lung-protective ventilation plan according to the patient’s actual situation.This article reviews the pathophysiological changes of the respiratory system in obese patients,the impact of perioperative general anesthesia in obese patients,and lung-protective ventilation strategies in obese patients.This article aims to explore how to improve the perioperative oxygenation index of obese patients,improve the mismatch of ventilation and blood flow,reduce or prevent the occurrence of respiratory complications,so as to improve the long-term survival rate of patients.
作者
张梦
易明亮
ZHANG Meng;YI Mingliang(Department of Anesthesiology,North Sichuan Medical College,Nanchong,Sichuan 637100,China;Department of Anesthesiology,Chengdu Fifth People’s Hospital,Chengdu,Sichuan 611130,China)
出处
《医药前沿》
2022年第23期39-42,共4页
Journal of Frontiers of Medicine
关键词
肥胖
肺保护性通气策略
呼吸系统
肺功能
氧合指数
Obesity
Lung protective ventilation strategies
Respiratory system
Lung function
Oxygenation index
