摘要
68例尘肺合并慢性阻塞性肺疾病患者，在双腔支气管插管麻醉下行大容量单侧肺灌洗。术中观察并记录灌洗前10min、灌洗后10min和30min及灌洗结束后生命体征的改变和术后患者症状改善情况。在灌洗过程中全部患者生命体征平稳，术后呼吸困难和咳嗽等症状明显缓解。提示在双腔支气管插管静脉吸入复合麻醉下实施大容量全肺灌洗对尘肺合并慢性阻塞性肺疾病患者安全有效。
Sixty-eight patients with pneumoconiosis combined with chronic obstructive puhnonary disease underwent large volume lavage in one lung under double cavity tracheal intubation and intravenousinhalant anesthesia. The vital signs of patients were recorded before, 10, 30rain after and at the end of lavage. Results showed that the vital signs were stable during the lavage; and after the lavage all patients had relief significantly from the symptoms of dyspnea, polypnea and cough. Our results indicate that general anesthesia with bilateral lung ventilation are a safe and effective method in large volume whole lung lavage for treatment of pneumoconiosis patients combined with chronic obstructive pulmonary disease.
出处
《中华全科医师杂志》
2010年第11期801-803,共3页
Chinese Journal of General Practitioners
关键词
尘肺
支气管肺泡灌洗
Pneumoconiosis
Bronchoalveolar lavage
