中国内镜杂志2016，Vol.22Issue(3)：63-67,5.DOI:10.3969/j.issn.1007-1989.2016.03.014
喉罩全麻胸腔镜下纵隔肿瘤切除的临床应用
Clinical application of thoracoscope mediastinal tumor resection with laryngeal mask anesthesia
王继云 1邹伟 1李婷 2李万刚 1田浩印1
作者信息
- 1. 中国石油天然气集团公司中心医院 胸外科,河北 廊坊 065000
- 2. 廊坊卫生职业学院 内科教研室,河北 廊坊 065000
- 折叠
摘要
Abstract
Objective To evaluate the clinical application of thoracoscope mediastinal tumor resection with the laryngeal mask anesthesia. Methods 40 cases of mediastinal tumors were randomly divided into two groups from 2012 to 2015, 20 cases in each group. Laryngeal mask group performed thoracoscope mediastinal tumor resection with laryngeal mask anesthesia and the Intubation group performed thoracoscope mediastinal tumor resection dou-ble-lume nendo tracheal intubation anesthesia, then compare the overall effect. Results All the patients were suc-cessfully completed with the thoracoscope surgery, no transfer to open chest cases. The preoperative anesthesia time of laryngeal mask group was shorter, blood pressure and pulse range of wave was smaller in the process of anesthesia and surgery, move restlessly was less, postoperative recovery time was shorter, and lower incidence of postoperative pharynx ministry unwell and sore throat, so the laryngeal mask group shows statistically significance comparing with the intubation group (P < 0.05); Operative time, operative field exposure satisfaction, intraoperative blood loss, post-operative extubation time and hospitalization days have no statistical significance (P >0.05). Conclusion The laryn-geal mask airway intravenous anesthesia in thoracoscope mediastinal tumor resection in practical good, in the preop-erative anesthesia and postoperative recovery time and postoperative sore throat was better than that of intubation group, so should be extended in clinical treatment.关键词
喉罩/气管插管/麻醉/胸腔镜手术/纵隔肿瘤Key words
laryngeal mask/endotracheal intubation/anesthesia/thoracic surgery/mediastinal tumor分类
临床医学引用本文复制引用
王继云,邹伟,李婷,李万刚,田浩印..喉罩全麻胸腔镜下纵隔肿瘤切除的临床应用[J].中国内镜杂志,2016,22(3):63-67,5.
