左侧卧位下右支气管封堵器定位的应用

发布时间：2018-05-10 15:21

本文选题：纤维支气管镜 + 支气管封堵器　；参考：《安徽医科大学学报》2017年09期

【摘要】：选取电视胸腔镜下右进胸食管癌根治术患者40例,随机分为平卧位组(S组)和左侧卧位组(L组),每组20例。两组患者均在麻醉诱导后插入气管导管,然后在纤维支气管镜引导下置入右侧支气管封堵器。S组患者处于平卧位时由纤维支气管镜引导置入并定位,L组患者在左侧卧位时由纤维支气管镜引导下置入并定位。观察比较两组患者支气管封堵器移位情况、纤维支气管镜使用次数以及肺萎陷满意率。S组侧卧位封堵器移位次数以及平卧位时需用纤维支气管镜的次数较L组明显增多,而肺萎陷满意率两组相比差异无统计学意义。左侧卧位下纤维支气管镜引导右侧主支气管置入支气管封堵器,其具有减少侧卧位移位发生和减少纤维支气管镜的使用次数等优点,值得推荐于临床实践。
[Abstract]:Forty patients with right thoracic esophageal carcinoma undergoing radical resection under video-assisted thoracoscopy were randomly divided into supine position group (S group) and left supine position group (L group) with 20 cases in each group. After anesthesia induction, tracheal catheter was inserted in both groups. Then the right bronchial occluder was placed under the guidance of fiberoptic bronchoscope. Group S was placed in the supine position under the guidance of fiberoptic bronchoscope and the patients in group L were placed and positioned under the guidance of fiberoptic bronchoscope in the left recumbent position. The translocation of bronchial occluder was observed and compared between the two groups. The times of using fiberoptic bronchoscope and the satisfaction rate of pulmonary collapse in group S were significantly higher than those in group L. The number of translocation of occluder in lateral position and fiberoptic bronchoscope in supine position in group S was significantly higher than that in group L. There was no significant difference in the satisfaction rate of pulmonary collapse between the two groups. The fiberoptic bronchoscope in the left supine position can guide the right main bronchus to place the bronchial occluder, which has the advantages of reducing the lateral position shift and reducing the use times of the fiberoptic bronchoscope, which is worthy of recommendation in clinical practice.
【作者单位】：安徽医科大学第一附属医院麻醉科;
【基金】：安徽省科技攻关计划项目(编号:1301042204)
【分类号】：R614;R735.1

【参考文献】