| SLIPA喉罩与气管插管在择期乳腺癌根治术中应用比较 |
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| 引用本文： | 柴玫,熊君宇. SLIPA喉罩与气管插管在择期乳腺癌根治术中应用比较[J]. 大连医科大学学报, 2010, 32(5): 547-550 |
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| 作者姓名： | 柴玫 熊君宇 |
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| 作者单位： | 大连医科大学,附属第二医院,麻醉学教研室,辽宁,大连,116027;大连医科大学,附属第二医院,麻醉学教研室,辽宁,大连,116027 |
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| 摘 要： | [目的] 评价SLIPA喉罩与气管插管在择期乳腺癌根治术中应用的有效性和安全性. [方法] 随机选取80例乳腺癌患者,分为SLIPA喉罩组和气管插管组,均静脉复合全麻,观察置入成功率、术中漏气率、血流动力学变化、血气变化、术中返流及术后咽痛情况. [结果] 两组成功率差异无统计学意义.两组均无反流.两组咽痛发生率相似.术中漏气率SLIPA喉罩组30%,气管插管组0%,血流动力学方面SLIPA喉罩组在插罩前后、拔罩前后MAP、HR无明显波动,而气管插管组在插管前后、拔管前后MAP有明显波动.血气方面SLIPA喉罩组PaCO2在手术60 min时升高,增加潮气量后回落,而气管插管组在手术30 min时降低,减少潮气量后恢复正常.[结论] SLIPA喉罩血流动力学稳定,置入无需喉镜,成功率较高.但是,SLIPA喉罩术中有漏气现象,气道密闭性略差,有CO2蓄积倾向.短时间内不影响通气,但长时间手术建议血气监测.
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| 关 键 词： | SLIPA喉罩 气管插管 全麻 |
Comparison of novel streamlined pharynx airway liner (SLIPA) and endotracheal intubation in radical mastectomy under general anesthesia |
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| CHAI Mei and XIONG Jun-yu. Comparison of novel streamlined pharynx airway liner (SLIPA) and endotracheal intubation in radical mastectomy under general anesthesia[J]. Journal of Dalian Medical University, 2010, 32(5): 547-550 |
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| Authors: | CHAI Mei and XIONG Jun-yu |
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| Affiliation: | Department of Anesthesia, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027, China;Department of Anesthesia, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027, China |
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| Abstract: | |
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| Keywords: | SLIPA endotracheal intubation general anesthesia |
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