| 肺结核患者单肺通气时PetCO2和PaCO2的相关性研究 |
| |
| 引用本文： | 汪国香,黄丽霞,万海方,陶凡,王振.肺结核患者单肺通气时PetCO2和PaCO2的相关性研究[J].浙江中西医结合杂志,2014,24(9):813-814. |
| |
| 作者姓名： | 汪国香 黄丽霞 万海方 陶凡 王振 |
| |
| 作者单位： | 浙江省中西医结合医院麻醉科,杭州310003 |
| |
| 基金项目： | 杭州市医药卫生科技计划项目（No.2010A021） |
| |
| 摘 要： | 肺结核患者肺组织常有渗出浸润、增殖纤维化或钙化、干酪样坏死等病变，导致通气血流比值失调、CO2弥散障碍，因而这类患者在单肺通气下行肺部手术时需密切监测二氧化碳分压（PaCO2）。临床上常采用无创的呼气末二氧化碳分压（PetCO2）进行监测。既往文献报道PaCO2与PetCO2之间具有良好的相关性，但近年研究表明，PetCO2与PaCO2的相关性受诸多因素影响，如体位、二氧化碳气腹、单肺通气、创伤及肺组织病变等。本文通过观察PetCO2和PaCO2的变化，以期了解肺结核患者手术行单肺通气时PetCO2和PaCO2的变化及相关性，为临床提供通气维持依据。
|
| 关 键 词： | 肺结核 单肺通气 PaCO2 PetCO2 相关性 |
| 收稿时间： | 2013/11/14 0:00:00 |
| 修稿时间： | 2013/11/21 0:00:00 |
Change and correlation between PaCO2 and PetCO2 during one-lung ventilation in patient with pulmonary tuberculosis |
| |
| Abstract: | Objective: To investigate the correlation between arterial partial pressure Of carbon dioxide(PaCO2) and end-tidal expiratory partial pressure Of carbon dioxide( PetCO2) during one-lung ventilation of patients with pulmonary tuberculosis . Methods: Pulmonary resections were performed on 27 patients with pulmonary tuberculosis. PaCO2, PetCO2 were measured 15 min following TLV and 15min, 30 min, 60 min following OLV. Results: There was correlation between PetCO2 and PaCO2at each point. PaCO2 after OLV 15min, 30min,1h were significantly higher than that of TLV(P<0.05). Conclusion: It was available to estimate PaCO2 by monitoring PetCO2 during OLV in patients with pulmonary tuberculosis. But it is also necessary to measure PaCO2 with prolonged |
| |
| Keywords: | Pulmonary tuberculosis One-lung ventilation PaCO2 PetCO2 |
| 本文献已被 维普 等数据库收录！ |
| 点击此处可从《浙江中西医结合杂志》浏览原始摘要信息 |
| 点击此处可从《浙江中西医结合杂志》下载免费的PDF全文 |
