尘肺患者全肺大容量灌洗麻醉处理 |
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引用本文: | 刘水平,彭文玲,杜超,张丹. 尘肺患者全肺大容量灌洗麻醉处理[J]. 中国航天工业医药, 2009, 0(6): 70-72 |
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作者姓名: | 刘水平 彭文玲 杜超 张丹 |
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作者单位: | 湖南省劳动卫生职业病防治所医院,410007 |
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摘 要: | 目的探讨双腔支气管静脉复合麻醉在全肺大容量灌洗中的应用。方法60例0^+~Ⅱ期尘肺患者在双腔支气管插管静脉复合全麻下行大容量全肺灌洗术。术中左侧单肺通气,右侧用温生理盐水(37℃)灌洗,1周后同法行左肺灌洗术。结果60例双腔支气管静脉麻醉、灌洗顺利,监测生命征平稳,PaO2和SpO2在单肺通气至灌洗结束(术后)均明显升高(P〈0.05),术后自觉症状均较前明显好转。结论尘肺患者进行大容量全肺灌洗术采用双腔支气管静脉复合麻醉,只要麻醉操作、管理正确,是安全有效的。
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关 键 词: | 尘肺 麻醉 双腔支气管插管 大容量 全肺灌洗 |
To deal with pneumoconiosis patients with a large number of whole lung lavage anesthesia |
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Affiliation: | Liu Shuiping, Peng Wenling, Du Chao(Institute of Labor Health and Occupational Disease Prevention Hospital, Hunan 410007) |
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Abstract: | Objective Double-lumen endobronchial intravenous anesthesia in the whole lung lavage in high-volume applications. Methods 60 cases of 0^+- Ⅱ period of pneumoeoniosis in the double-lumen endobronchial intubation in patients with venous general anesthesia composite large-capacity whole lung lavage.The left side during one-lung ventilation, the right to use warm saline (37℃) lavage, after 1 week left with the method of lavage. Results 60 cases of double-lumen endobronchial intravenous anesthesia, irrigation well, life-sign monitoring smooth, PaO2 and SpO2 to one-lung ventilation in end of irrigation (after) are significantly higher (P〈0.05),postoperative symptoms are a marked improvement over the previous. Conclusion Pneumoconiosis were large capacity whole lung lavage using double-lumen endobronchial intravenous anesthesia, as long as the narcotic operation, management right, is safe and effective. |
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Keywords: | Double-lumen Endobronchial Intubation anesthesia pneumoconiosis Large capacity Whole lung lavage |
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