| 全肺切除术后保护性通气体会 |
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| 引用本文： | 陈检明,易云峰,叶峥嵘,焦昌结,钟京,赖长君.全肺切除术后保护性通气体会[J].临床肺科杂志,2010,15(5):664-665. |
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| 作者姓名： | 陈检明 易云峰 叶峥嵘 焦昌结 钟京 赖长君 |
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| 作者单位： | 漳州,解放军第175医院心胸外科,福建,363000 |
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| 摘 要： | 目的探讨行一侧全肺切除术后患者的呼吸支持。方法分析56例一侧全肺切除术后患者呼吸机的应用,20例采用传统呼吸参数设置潮气量(vt):8～12 ml/kg;36例患者采用新呼吸参数设置潮气量(vt):左侧全肺切除潮气量(vt)设置:6～8 ml/kg,右侧全肺切除潮气量(vt)设置:5～7 ml/kg。结果20例采用传统呼吸参数设置潮气量患者中,发生气胸6例,支气管胸膜瘘3例,死亡2例;36例患者采用新呼吸参数设置潮气量患者中:发生气胸2例,支气管胸膜瘘1例,无死亡。结论全肺切除术后采取保护性通气可减少术后并发症的发生率,帮助患者稳定度过围术期。
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| 关 键 词： | 全肺切除 呼吸参数 |
Experience of protective ventilation after pneumonectomy |
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| CHEN Jian-ming,YI Yun-feng,YE Zheng-rong,JIAO Chang-jie,ZHONG Jing,LAI Chang-jun.Experience of protective ventilation after pneumonectomy[J].Journal of Clinical Pulmonary Medicine,2010,15(5):664-665. |
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| Authors: | CHEN Jian-ming YI Yun-feng YE Zheng-rong JIAO Chang-jie ZHONG Jing LAI Chang-jun |
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| Institution: | CHEN Jian-ming,YI Yun-feng,YE Zheng-rong,JIAO Chang-jie,ZHONG Jing,LAI Chang-jun.Cardiothoracic Surgery,the 175th Hospital of PLA,Zhangzhou City,Fujian Province 363000,China |
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| Abstract: | Objective To discuss on the one-side pneumonetomy after respiratory support.Methods The data of 56 case of the one-side pneumonectomy in patients with ventilater applications were analyzed.20 cases used the traditional tidal volume breathing parameters,and 36 cases introducted new parameters set tidal volume breathing.The parameters of left pneumonectomy tidal volume settings was 6~8 ml/kg,and for right pneumonectomy tidal volume settings,it was 5~7 ml/kg.Results For the 20 cases of respiratory parameters u... |
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| Keywords: | pneumonectomy parameters setting |
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