摘要
目的探讨尘肺患者肺灌洗术的麻醉管理方法。方法6例尘肺患者在全麻下双腔气管插管双侧肺行肺灌洗术,先行左肺灌洗术,1周后再行右肺灌洗术。结果全肺灌洗术中双肺隔离满意,患者生命征平稳,动脉血氧分压(PaO2)和脉搏血氧饱和度(SpO2)在单肺通气至灌洗结束时均明显升高(P<0.05),术后所有患者在肺灌洗后呼吸困难等症状均有不同程度缓解,顺利出院。结论全麻加单肺通气是尘肺患者肺灌洗术一种安全、有效麻醉方法。
Objective Investigated the manangement and effect of anesthesia of lung lavage in patients with pneumonoeoniosis, Methods Bilateral hmg lavage was perfomed ruder general anesthesia in 6 patients with pneumonoeoniosis aged 39 - 59 years. Left lung lavage was performed first and the fight lung was lavaged one week later. Results During lavage, pulmonary sequestration（segregation） was satisfactory and patient＇s vital sign was stable. PaO2 and SpO2 significantly increased from one-lung ventilation 3 minutes to the end of lavage（ P 〈 0.05）, but there was no significant difference in HR, MAP, PETEO2 （P 〈 0.05）. After hvage, all patients lind more or less relif from the symptoms of dyspnea, polypnea and cough. Conclusion General anesthesia with one-lung ventilation is a safe and effective method in lung lavage in patients with pneumonoconiosis .
出处
《中国实验诊断学》
2006年第11期1315-1316,共2页
Chinese Journal of Laboratory Diagnosis
关键词
支气管肺泡灌洗
尘肺
呼吸功能
麻醉
全身
Bronchoalveolar
Pneumonoconiosis
Respiratory funetion Anesfllesia, general
