天津医药
天津醫藥
천진의약
TIANJIN MEDICAL JOURNAL
2000年
12期
717-718
,共2页
儿童%肺换气%麻醉
兒童%肺換氣%痳醉
인동%폐환기%마취
child pulmonary gas exchange anesthesia
目的：将Univent单腔双囊气管导管用于8～14岁小儿胸部外科手术以期实现小儿单肺通气。方法：择期行肺叶切除术患儿12例，在芬太尼、异丙酚、潘库溴铵静脉麻醉诱导下插入单腔双囊支气管堵塞导管，用听诊法判断目标侧肺是否完全堵塞。术中机械通气，常规进行循环、呼吸监测。结果：右侧开胸7例，6例放置满意，1例术中见右肺膨胀，放弃使用。左侧开胸5例，1例反复放置不能达目标侧，放弃使用。结论：Univent单腔双囊气管导管用于小儿肺叶切除术，患侧肺萎陷，手术暴露操作满意，患儿呼吸、循环稳定，是实现小儿单肺通气的方法之一。
目的：將Univent單腔雙囊氣管導管用于8～14歲小兒胸部外科手術以期實現小兒單肺通氣。方法：擇期行肺葉切除術患兒12例，在芬太尼、異丙酚、潘庫溴銨靜脈痳醉誘導下插入單腔雙囊支氣管堵塞導管，用聽診法判斷目標側肺是否完全堵塞。術中機械通氣，常規進行循環、呼吸鑑測。結果：右側開胸7例，6例放置滿意，1例術中見右肺膨脹，放棄使用。左側開胸5例，1例反複放置不能達目標側，放棄使用。結論：Univent單腔雙囊氣管導管用于小兒肺葉切除術，患側肺萎陷，手術暴露操作滿意，患兒呼吸、循環穩定，是實現小兒單肺通氣的方法之一。
목적：장Univent단강쌍낭기관도관용우8～14세소인흉부외과수술이기실현소인단폐통기。방법：택기행폐협절제술환인12례，재분태니、이병분、반고추안정맥마취유도하삽입단강쌍낭지기관도새도관，용은진법판단목표측폐시부완전도새。술중궤계통기，상규진행순배、호흡감측。결과：우측개흉7례，6례방치만의，1례술중견우폐팽창，방기사용。좌측개흉5례，1례반복방치불능체목표측，방기사용。결론：Univent단강쌍낭기관도관용우소인폐협절제술，환측폐위함，수술폭로조작만의，환인호흡、순배은정，시실현소인단폐통기적방법지일。
Objective:To evaluate the use of Univent-endotracheal tube with movable blocker in children one-lung ventilation.Methods: Twelve patients who received selective lobectomy underwent Univent-endotracheal tube and movable blocker under anesthesia of fentanyl and propofol. Auscultation was used to monitor if the lung was completely blocked. The changes ofHR,EKG,SpO2, RR, Vt, MV, and PetCO2 were observed during the surgery. Results:In right thoracotomy, endotrachealtube was in proper position in 6 of 7 patients, and one patient happened pulmonary hypertroply and was operated by doublelung ventilation. In left thoracotomy,it was in proper position in 4 of 5 patients,and one patient failed during intubation.Conclusion:Univent tubes can be used in one-lung ventilation in lobectomy for the purpose of facilitating surgical exposureand stabilizing respiration and circulation. It is one of the one-lung ventilations in pediatrics.
