中国体外循环杂志2017，Vol.15Issue(2)：76-80,5.DOI:10.13498/j.cnki.chin.j.ecc.2017.02.04
体外循环下全胸腔镜二尖瓣手术两种单肺通气导管的比较研究
Comparison of two different endotracheal tubes for one-lung ventilation during totally thoracoscopic mitral valve surgery on cardiopulmonary bypass
摘要
Abstract
Objective To compare the efficacy and adverse effects of bronchial blocker and double-lumen endobronchial tube used in totally thoracoscopic mitral valve surgery on cardiopulmonary bypass. Methods Fifty-five patients undergoing totally thoraco-scopic mitral valve surgery on cardiopulmonary bypass were included and randomly divided into double lumen endobronchial tube group ( DLTs) or bronchial blocker group ( BBs) . The efficiency of insertion of two different tubes and hemodynamics during intubation, intraoperative mechanical ventilation parameters and adverse complications of airway were compared. Results Although bronchial bloc-ker tube placement in BBs took longer than double lumen endobronchial tube in DLTs, intubation of BBs had a more stable hemody-namics, and both groups had similar efficacy for one-lung ventilation. BBs were associated with significantly lower incidence of airway mucous injury, postoperative sore throat and hoarseness than DLTs. Conclusions Although bronchial blockers and double-lumen en-dobronchial tubes can both achieve good lung isolation and provide ideal operation conditions during totally thoracoscopic mitral valve surgery, bronchial blocker is preferred for these operations due to reduced airway complications.关键词
单肺通气/双腔支气管导管/支气管封堵器/全胸腔镜/二尖瓣手术/体外循环Key words
One-lung ventilation/Double-lumen endobronchial tube/Bronchial blocker/Totally thoracoscopic/Mitral valve surgery/Cardiopulmonary bypass引用本文复制引用
张涛元,戚洋洋,雷翀,董海龙,张慧,侯丽宏..体外循环下全胸腔镜二尖瓣手术两种单肺通气导管的比较研究[J].中国体外循环杂志,2017,15(2):76-80,5.基金项目
国家自然科学基金资助项目( 81370011)、第四军医大学课题资助项目( 2016XD168) （ 81370011）
