开胸手术单肺通气方式进展
摘要
为给开胸手术操作提供最佳的术野,避免手术侧肺的分泌物或渗出物流入健侧通气肺,开胸手术通常采用单肺通气fone—lung ventilation,OLd/)来隔离双侧肺。OLV的首要任务是维持开胸术中足够的氧合和排出二氧化碳。随着医学的发展,麻醉医师在保证OLV术中患者基本氧合和排出二氧化碳的前提下,
出处
《北京医学》
CAS
2010年第2期131-134,共4页
Beijing Medical Journal
参考文献28
-
1Shimizu T, Abe K, Kinouchi K, et al. Arterial oxygenation during one lung ventilation. Can J Anaesth,1997,44:1162-1166.
-
2Abe K,Mashimo T, Yoshiya I, et al. Arterial oxygenation and shunt fraction during one-lung ventilation: a comparison of lsoflurane and sevoflurane.Anesth Analg,1998,86:1266-1270.
-
3Kata JA, Laverne RG, Fairley HB, et al. Pulmonary oxygen exchange during endobronchial anaesthesia. Effects of tidal volume and PEEP. Anesthesiology,1982,56:164-171.
-
4Marcelo Gama de Abreu, Heintz M, Heller A, et al. One-lung ventilation with high tidal volumes and zero positive end-expiratory pressure is injurious in the isolated rabbit lung model. Anaesth Analg,2003,96:220-228.
-
5Slinger PD,Kruger M,McRae K,et al. Relation of the static compliance curve and positive end-expiratory pressure to oxygenation during oen-lung ventilation. Anesthesiology, 2001, 95:1096-1102.
-
6Cohen E, Eisenkraft JB. Positive end-expiratory pressure during one-lung ventilation improves oxygenation in patients with low arterial oxygen tensions. J Cardiothorac Vasc Anesth,1996,10: 578-582.
-
7Leong LMC, Chatterje S, Gao F ,et al.The effect of positive end expiratory pressure on the respiratory profile during one-lung ventilation for thoracotomy.Anaesthesia,2007,62:23-26.
-
8Valenza F,Ronzoni L,Perrone M ,et al. Positive end-expiratory pressure applied to the dependent lung during one-lung ventilation improves oxygenation and respiratory mechanics in patients with high FEV1.Eur J Anaesthesiol, 2004, 21: 938-94.
-
9Inomata S,Nishikawa T, Saito S, et al. "Best" peep during one-lung ventilation. Brit J Anaesth,1997,78:754-756.
-
10苏跃,耿万明,刘伟,郑晖.全麻下单肺通气对肺功能的影响[J].中华麻醉学杂志,1999,19(10):584-586. 被引量:25
二级参考文献9
-
1JF纳恩.应用呼吸生理学[M].北京:科学出版社,1983.95-98.
-
2J F 纳恩,应用呼吸生理学,1983年,95页
-
3Tonz M, Bachmann D, Mettier D, et al. Pulmonary function after one-lung ventilation in newborns: the basis forneonatal thoracoscopy. Ann Thorac Surg , 1998, 66:542-546.
-
4Klein U, Karzai W, Zimmermann P, et al. Changes in pulmonary mechanics after fiberoptic bronchoalveolar lavage in mechanically ventilated patients. Intensive Care Med, 1998,24:1289-1293.
-
5Iwasaka H, Itoh K, Miyakawa H, et al. Continuous monitoring of ventilatory mechanics during one-lung ventilation. J Clin Monit,1996, 12:161-165.
-
6Weiler N, Eberle B, Heinrichs W, et al. Adaptive lung ventilation (ALV) during anesthesia for pulmonary surgery: automatic response to transitions to and from one lung ventilation. J Clin Monit Comput, 1998, 14:245-248.
-
7冯艳平,张卫.异丙酚和安氟醚对单肺通气时肺内分流的影响[J].中华麻醉学杂志,1999,19(6):370-370. 被引量:9
-
8管忠震,陈茹琴,徐光川,李宇红,许立功,李龙云,刘叙仪,廖美琳,李金瀚.Gemcitabine治疗晚期非小细胞肺癌的临床研究[J].癌症,1999,18(3):241-245. 被引量:176
-
9苏跃,耿万明,刘伟,郑晖.全麻下单肺通气对肺功能的影响[J].中华麻醉学杂志,1999,19(10):584-586. 被引量:25
共引文献30
-
1吴励文,陈棉生,郑慧,张舟,陈信发.单肺通气时紧闭与开放非通气侧肺对肺内分流的影响[J].中山大学学报(医学科学版),2004,25(B07):349-351.
-
2李利文.胸腔镜手术不同吸入麻醉药肺摄取的临床研究[J].中国内镜杂志,2005,11(8):813-814.
-
3刘勇,陈锋,朱涛,王焱林.单肺通气时小潮气量对血气和血流动力学的影响[J].郧阳医学院学报,2006,25(1):34-35. 被引量:3
-
4陶蕾,姚立农,柴伟,杨永慧,于代华,赵晖.肺泡征募对单肺通气时氧合和肺内分流的影响[J].临床麻醉学杂志,2006,22(4):241-243. 被引量:1
-
5刘伟,苏跃,耿万明,郑辉,高广阔,王春,胡正芳.不同体位对全麻病人双肺或单肺通气时呼吸力学的影响[J].中华麻醉学杂志,2006,26(3):221-223. 被引量:5
-
6刘勇,陈锋,王焱林,张宗泽.单肺通气时不同潮气量对呼吸力学及血气的影响[J].数理医药学杂志,2006,19(3):253-254. 被引量:4
-
7陈锋,刘勇,张宗泽,王焱林.开胸术病人不同参数单肺通气的效果[J].中华麻醉学杂志,2006,26(9):795-797. 被引量:9
-
8唐学锋,毛志福,林辉.单肺通气时不同潮气量对血液氧合及肺内分流的影响[J].广西医学,2007,29(2):193-194. 被引量:4
-
9王桂杰,刚黎生,王桂芝,朴香兰.胸腔镜手术60例麻醉处理体会[J].中国实用医药,2008,3(11):127-128.
-
10曹利霞,葛淼,何进伟.主成分分析法评估地理分布对成年人肺顺应性参考值的影响[J].第二军医大学学报,2009,30(1):36-39. 被引量:4
-
1刘文君,郑晖.开胸手术单肺通气方式进展[J].结核病与胸部肿瘤,2010(1):70-73.
-
2贺菲,庾俊雄.创伤失血性休克的围术期液体复苏[J].华夏医学,2010,23(3):339-342. 被引量:1
-
3傅国松.间苯三酚治疗泌尿系结石所致绞痛的体会[J].内蒙古中医药,2012,31(3):8-9.
-
4姚悦,邵雪泉.托烷司琼联合氟哌利多预防腹腔镜胆囊切除术后恶心呕吐的临床观察[J].实用医学杂志,2011,27(16):3090-3091. 被引量:7
-
5连秀华,田柳,尹雪玲,李敏玲.前列腺增生血尿的急诊护理[J].基层医学论坛,2011,15(18):526-527.
-
6石宏英,蓝光明,李秀东,连秀华.前列腺增生血尿的急诊护理[J].护理实践与研究,2009,6(5):54-55. 被引量:1
-
7王茂森.探讨心肺复苏后肾功能衰竭的预防及临床治疗措施[J].中国伤残医学,2014,22(11):115-115.
-
8张坤全.芬太尼、异丙酚静脉麻醉在电视胸腔镜手术中的应用[J].中国微创外科杂志,2004,4(1):27-28. 被引量:1
-
9张丽.听觉诱发电位指数在全身麻醉监测中的应用[J].临床和实验医学杂志,2008,7(1):156-157. 被引量:4
-
10付冬雪,席宏杰.单肺通气期间肺保护策略新进展[J].临床肺科杂志,2017,22(5):931-934. 被引量:3