CAJ | 학술논문

目的研究P_(ET)CO_2监测快速判断食管一气管联合导管和普通气管导管通气是否正常.方法全麻下腹腔镜胆囊切除术(LC)患者48例,随机均分为四组:联合导管食管腔通气组(A_1组),联合导管气管腔通气按压上腹部组(A_2组),联合导管气管腔通气不按压上腹部组(A_3组),气管导管气管通气组(B组).除常规监测SpO_2外,记录四组的P_(ET)CO_2及波形变化.结果 A_1、B组显示正常数值及波形;A_2组3 min内始终显示为0,CO_2波形为直线;A_3组在第1分钟显示为0,无CO_2波形,第2分钟开始显示为8～9 mm Hg的数值,并有小的CO_2波形.结论 P_(ET)CO_2可以较为准确、快速、有效地判断气管插管位置和通气是否正常.
목적 연구P_(ET)CO_2감측쾌속판단식관일기관연합도관화보통기관도관통기시부정상.방법 전마하복강경담낭절제술(LC)환자48례,수궤균분위사조:연합도관식관강통기조(A_1조),연합도관기관강통기안압상복부조(A_2조),연합도관기관강통기불안압상복부조(A_3조),기관도관기관통기조(B조).제상규감측SpO_2외,기록사조적P_(ET)CO_2급파형변화.결과 A_1、B조현시정상수치급파형;A_2조3 min내시종현시위0,CO_2파형위직선;A_3조재제1분종현시위0,무CO_2파형,제2분종개시현시위8～9 mm Hg적수치,병유소적CO_2파형.결론 P_(ET)CO_2가이교위준학、쾌속、유효지판단기관삽관위치화통기시부정상.
Objective To evaluate whether ventilation with esophageal-tracheal combitube is in normal status through monitoring P_(ET)CO_2. Methods Forty-eight patients undergoing selective laparoscoic cholecystectomy(LC) under general anesthesia were randomly divided into 4 groups. Grade A was ventilated with E-TT were subdivided into 3 groups of A_1 (E-TCT ventilation), A_2 (E-TCT ventilation plus abdominal compression), and A_3 (E-TCT ventilation without abdominal compression). Grade B was ventilated with common tracheal tube(TT). In addition to SpO_2, the P_(ET)CO_2 and CASO_2 waveforms were monitored. Results Normal P_(ET)CO_2 value and CO_2 waveform were seen in groups of A_1 and B. P_(ET)CO_2 monotoring showed at zero all the time within 3 min with a straight line of CO_2 wave, no sooner connected P_(ET)CO_2 probe than presented normal and same marks and CO_2 wave,groups A_2 presented nothing, group A_3 presented nothing on the monitor in the first minute, presented 8-9 mm Hg and small CO_2 wave from the second minute. Conclusion Monitoring P_(ET)CO_2 can judge whether ventilation with E-TCT is in normal status accurately and quickly.