山东医药Issue(9)：31-33,3.DOI:10.3969/j.issn.1002-266X.2014.09.011
新型左主支气管阻塞器在食管癌术中单肺通气的应用研究
Application of a new type left-bronchial-blocker for one-lung ventilation in esophageal cancer surgery
摘要
Abstract
Objective To investigate the clinical value of applying a new type left-bronchial-blocker ( NTLBB ) for one-lung ventilation ( OLV) during the esophageal cancer surgery .Methods Thirty patients with esophageal cancer ( ASAⅠ-Ⅱ) were embedded the new type left-bronchial-blocker in order to achieve the right single lung ventilation and the left side collapse after anesthesia induction and thus to operate and reduce the lung injury .By observing the positioning cathe-terization success rate, peak airway pressure (PEAK) during OLV, ventilation (VT), respiratory frequency (R), breath out CO2 partial pressure ( ETCO2 ) , the change of the SpO 2 , damage degree of the airway and the incidence of postoperative sore throat and hoarse , we analyzed the effect of NTLBB during the surgery and reducing the lung injuries .Results The positioning catheterization success rate was 96.7%, and 6 patients needed adjusting position of bronchial tampon which were observed by lateral position FOB examination (20%).Compared with double lung ventilation , during OLV, PEAK was increased, but the changes of VT, R, ETCO2, SpO2 were not obvious (all P>0.05).Airway trauma score was 1.42. The incidence of postoperative follow-up hoarse ( accompanied by sore throat ) was 10%, and the incidence of sore throat was 40%.Conclusions NTLBB for OLV has the advantages of simple , precise positioning , small airway lesions and low complications , and helps to improve the quality of esophageal cancer surgery and anesthesia .关键词
食管肿瘤/单肺通气/新型左主支气管阻塞器/气道峰压Key words
esophageal neoplasms/one-lung ventilation/new type left bronchial blocker/peak airway pressure分类
医药卫生引用本文复制引用
赵清军,杨文锋,商烁..新型左主支气管阻塞器在食管癌术中单肺通气的应用研究[J].山东医药,2014,(9):31-33,3.基金项目
济南市科技计划项目、科研基金资助项目（201201050）。 （）
