期刊文献+

支气管封堵导管在单肺通气中的应用及术后咽喉炎症反应的研究 被引量:1

The application of bronchus occlusion in single lung ventilation and the research of postoperative guttural inflammatory
下载PDF
导出
摘要 目的探讨应用支气管封堵导管和双腔支气管导管在单肺通气的临床效果的比较。方法选取我院60例胸外科手术治疗需单肺通气患者。随机分为对照组和治疗组,每组各30例。对照组患者采用双腔支气管导管手术通气治疗;治疗组患者采用支气管封堵导管手术通气治疗。记录插管时间、定位时间、肺隔离时间及通过声门尝试次数和和肺萎陷程度、术后声嘶、咽痛发生率。结果与采用双腔支气管导管手术通气组比较,支气管封堵导管组术中肺萎陷良好、术野暴露满意,并且在插管时间、肺隔离时间、定位时间及通过声门尝试次数、术后声嘶、咽痛发生率方面均明显低于对照组患者,两组比较,差异有统计学意义(均P<0.05)。结论支气管封堵导管手术治疗单肺通气患者的临床疗效明显,手术操作简单、安全,且手术后患者的声音嘶哑、咽喉疼痛等并发症的发生率较低,值得在临床上推广使用。 Objective To investigate the comparison of the clinical effect on single lung ventilation by using bronchus blocking pipe and double cavity bronchial catheter. Methods 60 patients after thoracic surgery needing single lung ventilation were selected. Randomly divided into control group and treatment group, 30 cases in each group. The control group were treated by the double cavity bronchial tube ventilation; Treatment group were treated by bronchial block ventilation .Record time, location, time of pulmonary sequestration and intubation through the glottis attempts and the lungs and the walls degree, the incidence of postoperative hoarseness, sore throat. Results Compared with bronchial tube with double cavity operation ventilation group, bronchial blocked duct group had satisfactory collapsed lung, surgical field exposure, and in several aspects, including intubation time, pulmonary sequestration time, locational time and through the glottis attempts, the incidence of postoperative hoarseness and sore throat, were significantly lower than that in control group, with significant difference, the two groups have statistical significance (P〈0.05). Conclusion There was significantly clinical effect on patients surgical treatment with the bronchus blocking catheter one-lung ventilation, and surgical operation is simple, safe, the incidence of complications after surgery such as hoarseness, sore throat, and so on in patients low, should be widely spreaded in clinics.
出处 《中国医药科学》 2014年第15期201-204,共4页 China Medicine And Pharmacy
基金 广东省佛山市医学类科技攻关项目(201308214)
关键词 支气管封堵导管 双腔支气管导管 单肺通气 咽喉炎症 Bronchial occlusion catheter Double cavity bronchial tube Single lung ventilation Inflammation of the throat
  • 相关文献

参考文献14

  • 1欧阳葆怡.胸科手术麻醉行肺隔离术时双腔支气管导管的选择和管端定位[J].国外医学(麻醉学与复苏分册),1999,20(5):309-312. 被引量:25
  • 2高昌达,潘志浩,郭建荣.Coopdech封堵支气管导管与双腔支气管导管用于胸科单肺通气手术的对比研究[J].浙江临床医学,2007,9(9):1287-1288. 被引量:5
  • 3Mirzabeigi E,Johnson C,Ternian A.One-Lung Anesthesia Update[J].Semin Cardiothorac Vasc Anesth,2005,9(3):213-226.
  • 4Hagihira S,Takashina M,Mashimo T.Application of a newly designed right-sided,double-lumen endobronchial tube in patients with a very short right mainstem bronchus[J].Anesthesiology,2008,109(3):565-568.
  • 5Brodsky JB.Lung separation and the difficult airway[J].BrJ Anaesth,2009,103(suppl 1):66-75.
  • 6Christensen AM,Willemoes-Larsen H,Lundby L,et al.Postoperative throat complaints after tracheal intubation[J].Br J Anaesth,1994,73:786-787.
  • 7郭向阳,罗爱伦,任洪智,叶铁虎,黄宇光.气管插管并发杓状软骨脱位五例[J].中华麻醉学杂志,1997,17(11):697-698. 被引量:10
  • 8Uzuki M,Kanaya N,Mizuguchi A,et al.One-lung ventilation using a new bronchial blocker in a patient with tracheostomy stoma[J].Anesth Analg,2003,96(5):1538-1539.
  • 9Campos JH.An update on brochial blockers during lung separation techniques in adults[J].Anesth Analg,2003,97(5):1266-1274.
  • 10Mencke T,Echternach M,Kleinschmidt S,et al.Larngeal morbidity and quality of tracheal intubation:A Randomized controlled trial[J].Anaesthesiology,2003,98:1049-1056.

二级参考文献11

  • 1陈洁,王平,钟泰迪.Univent管和双腔管用于单肺通气的比较[J].国际麻醉学与复苏杂志,2006,27(5):284-286. 被引量:19
  • 2韩梅,王多友,王俊科.单肺通气技术的研究现状[J].国际麻醉学与复苏杂志,2007,28(2):126-128. 被引量:21
  • 3Campos JH,Kernstine KH. A comparison of a left-sided Bron cho-Cath with the torque control blocker univent and the wireguided blocker. Anesth Analg,2003,96 ;283-289.
  • 4Roscoe A, Kanellakos GW, McRae K,et al. Pressures exerted by endobronchial devices. Anesth Analg, 2007,104: 655-658.
  • 5徐智星,临床麻醉学杂志,1995年,33卷,45页
  • 6Campos J H,Kernstine K H.A comparison of a left-sided bronchocath with the torque control blocker Univent and the wireguided blocker.Anesth Analg,2003,96:283-289.
  • 7Campos JH.Current techniques for perioperative lung isolation in adults.Anesthesiology,2002,97:1295-1301.
  • 8Mirzabeigi E,Johnson C,Ternian A.One-Lung Anesthesia Update.Semin Cardiothorac Vasc Anesth,2005,9(3):213-226.
  • 9Uzuki M,Kanaya N,Mizuguchi A,et al.One-lung ventilation using a new bronchial blocker in a patient with tracheostomy stoma.Anesth Analg,2003,96:1538-1539.
  • 10Campos JH.An update on brochial blockers during lung separation techniques in adults.Anesth Analg,2003,97(5):1266-1274.

共引文献44

同被引文献15

引证文献1

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部