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非气管插管胸腔镜下肺癌手术的临床应用 被引量:11
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作者 王继云 李婷 +5 位作者 邹伟 李万刚 刘天伟 田浩印 刘本刚 张建伟 《中国内镜杂志》 北大核心 2017年第8期7-12,共6页
目的评估非气管插管麻醉下胸腔镜肺癌手术的可行性和安全性。方法实验组与对照组各20例周围型肺癌患者。实验组采用喉罩通气麻醉、对照组采用气管插管麻醉行胸腔镜下肺部手术,监测并记录各组诱导前(T0)、诱导插管时(T1)、手术实施时(T2... 目的评估非气管插管麻醉下胸腔镜肺癌手术的可行性和安全性。方法实验组与对照组各20例周围型肺癌患者。实验组采用喉罩通气麻醉、对照组采用气管插管麻醉行胸腔镜下肺部手术,监测并记录各组诱导前(T0)、诱导插管时(T1)、手术实施时(T2)和苏醒拔管时(T3)患者的收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)、心率(HR)、心电图(ECG)、脉搏血氧饱和度(Sp O2)、呼末二氧化碳分压(PETCO2)、中心静脉压、有创动脉血压及血糖指标,并记录患者术后的相关并发症,如有无咽痛、声音嘶哑和恶心等。结果喉罩组患者麻醉过程中对心血管系统刺激小,术后进食、排气、下床活动时间、平均住院日缩短,住院费用降低,咽部、呼吸及心血管系统并发症少于插管组。结论喉罩通气静脉麻醉配合胸内迷走神经阻滞在胸腔镜肺叶切除术中操作简易、安全性好、无插管相关并发症及单肺通气肺部损伤,符合手术-麻醉整体微创发展的理念,值得临床推广。 展开更多
关键词 喉罩 气管内插管 胸腔镜 肺癌手术
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Firebird stent for the treatment of patients with coronary heart disease: short-term clinical outcome 被引量:1
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作者 Hai-Ying wang Jin-Bo wang +6 位作者 Feng Liang Da-Yi HU Ming-Ying Wu Tian-Chang Li Chu-Zhong Tang ji-yun wang Chang-Lin Lu 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2009年第3期157-161,共5页
Objective The sirolimus-eluting stent (SES) has dramatically reduced the rate ofrestenosis in comparison to that with the baremetal stent (BMS).This study aimed to evaluate the short-term efficacy and safety of Fi... Objective The sirolimus-eluting stent (SES) has dramatically reduced the rate ofrestenosis in comparison to that with the baremetal stent (BMS).This study aimed to evaluate the short-term efficacy and safety of Firebird stent implantation for patients with coronary heart disease (CHD). Methods From Apri12006 through July 2007, 155 patients (mean age 58.93±10.27 years ) with CHD were implanted with Firebird stent or Cypher select stent at Daxing Hospital. Patients were followed up for one year. All-cause mortality, major adverse cardiac events (MACE, including cardiac death, myocardial infarction, recurrence of angina pectoris, heart failure, revascularization, and adverse arrhythmia) and stent thrombosis were compared between the 2 groups. Results Of the 155 consecutive patients, 147 patients were revascularized completely. Of these patients, 48 (with 59 lesions) were treated with Firebird stent, 59 patients (with 75 lesions) with Cypher select stent. The demographic characteristics were similar in the 2 groups. All the angiographic and procedural results were not significantly different between the 2 groups. All-cause mortality, myocardial infarction, recurrence of angina pectoris, MACE and stent thrombosis were almost identical between the 2 groups before discharge, at 6 months and at one year .Conclusion The short-term efficacy and safety of Firebird stent are similar to that of the cypher select stent for the treatment of patients with CHD (J Geriatr Cardlo12009; 6:157-161). 展开更多
关键词 coronary heart disease sirolimus-eluting stent percutaneous coronary intervention
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