中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
2期
28-28,30
,共2页
低潮气量%呼气末正压通气%肺大泡%麻醉
低潮氣量%呼氣末正壓通氣%肺大泡%痳醉
저조기량%호기말정압통기%폐대포%마취
Low tidal volume%End expiratory positive pressure ventilation%Pulmonary bullae%Anesthesia
目的：探讨低潮气量联合呼气末正压通气行肺大泡手术时麻醉管理经验。方法：选择2008-2014年手术治疗慢性阻塞性肺病肺大泡患者15例，术前麻醉诱导后，行双腔气管插管。术中调整麻醉深度和补充血容量维持血液动力学平稳。结果：所有患者的手术及麻醉过程均进展顺利，手术后患者生命体征平稳。结论：低潮气量联合呼气末正压通气行肺大泡手术麻醉，能够在手术过程中避免肺损伤。
目的：探討低潮氣量聯閤呼氣末正壓通氣行肺大泡手術時痳醉管理經驗。方法：選擇2008-2014年手術治療慢性阻塞性肺病肺大泡患者15例，術前痳醉誘導後，行雙腔氣管插管。術中調整痳醉深度和補充血容量維持血液動力學平穩。結果：所有患者的手術及痳醉過程均進展順利，手術後患者生命體徵平穩。結論：低潮氣量聯閤呼氣末正壓通氣行肺大泡手術痳醉，能夠在手術過程中避免肺損傷。
목적：탐토저조기량연합호기말정압통기행폐대포수술시마취관리경험。방법：선택2008-2014년수술치료만성조새성폐병폐대포환자15례，술전마취유도후，행쌍강기관삽관。술중조정마취심도화보충혈용량유지혈액동역학평은。결과：소유환자적수술급마취과정균진전순리，수술후환자생명체정평은。결론：저조기량연합호기말정압통기행폐대포수술마취，능구재수술과정중피면폐손상。
Objective:To investigate the management experience of anesthesia on low tidal volume and end expiratory positive pressure ventilation for lung bullae surgery.Methods:15 patients with chronic obstructive pulmonary disease pulmonary bulla who recieved surgery from 2008 to 2014 were selected.Double lumen endotracheal intubation were taken after induction of preoperative anesthesia.During the operation adjusted the depth of anesthesia and supplement blood capacity to maintain stable hemodynamics.Results:All of the patients were smoothly during operation and anesthesia,and with stable vital signs after surgery. Conclusion:Low tidal volume and end expiratory positive pressure ventilation for lung bullae surgery anesthesia can prevent lung injury during surgery.
