中国体外循环杂志2017，Vol.15Issue(3)：163-165,3.DOI:10.13498/j.cnki.chin.j.ecc.2017.03.09
胸腔镜辅助肋间小切口心脏手术的麻醉管理
The anesthesia for thoracoscopic assisted cardiac surgery
冯龙 1王刚 1陈婷婷 1周琪 1王文瑞 1武书玲 1曲帅1
作者信息
- 1. 100853 北京,解放军总医院心血管外科
- 折叠
摘要
Abstract
Objective To investigate the anesthesia management for the thoracoscopic assisted cardiac surgery.Methods Thirty-eight patients underwent thoracoscopic assisted cardiac surgery from December 2015 to April 2017,including 18 ASD repair surgery,10 left atrium mass cutting surgery,2 right atrium mass cutting surgery and 8 mitral valve repair surgery.All patients received the total intravenous anesthesia.The tracheal was intubated with a left-sided double-lumen endotracheal tube (DLT) which was positioned by the fiberoptic bronchoscopy (FOB).Besides routine monitoring,invasive blood pressure,CVP,pulmonary artery pressure and transesophageal echocardiography(TEE) were also regularly monitored.Results All patients were smoothly completed the surgery.The postoperative mechanical ventilation time was 10.75±5.6 hours,the length of ICU stay was 2.0±0.74 days,and the hospital stay was 7.17±2.3 days after operation.4 ASD repair patients and 3 mitral valve repair patients occurred severe hypoxia during one lung ventilation after weaning off the CPB.Conclusion To adopt reasonable measures to manage one lung ventilation and to prevent severe hypoxia after weaning off the CPB are the key points of the anesthesia management in the thoracoscopic assisted cardiac surgery.关键词
麻醉/单肺通气/缺氧/食道超声/微创心脏手术Key words
Anesthesia/One lung ventilation/Hypoxia/Minimize cardiac surgery/Transesophageal echocardiography引用本文复制引用
冯龙,王刚,陈婷婷,周琪,王文瑞,武书玲,曲帅..胸腔镜辅助肋间小切口心脏手术的麻醉管理[J].中国体外循环杂志,2017,15(3):163-165,3.
