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高频喷射通气用于胸腔镜下室缺修补术的麻醉(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第3期
页码:
252-254,258
栏目:
介入治疗
出版日期:
2003-05-01

文章信息/Info

Title:
The application of high frequency jet ventilation in anesthesia of video assisted thoracoscopic surgery in the closure of ventricular septal defect
作者:
董辉1; 陈绍洋1; 熊利泽1; 陈敏1; 张英民1; 程云阁2
第四军医大学西京医院:1.麻醉科,2.心血管外科,陕西西安71003
Author(s):
DONG Hui1; CHEN Shao-yang1; XIONG Li-ze1; CHEN Min1; ZHANG Ying-min1; CHENG Yun-ge2
1.Department of Anesthesiology,2.Department of Cardiovascular Surgery,Xijing Hospital,Fourth Military Medical University ,Xi'an, Shaanxi710032,China
关键词:
室间隔缺损; 胸腔镜手术; 高频喷射通气; 麻醉
Keywords:
ventricular septal defect; video-assisted thoracoscopic surgery; high frequency jet ventilation; anesthesia
分类号:
R614.42
DOI:
-
文献标识码:
A
摘要:
目的:观察高频喷射通气用于胸腔镜下室缺修补术的麻醉,并与开胸室缺修补术的麻醉对比,比较术中及术后早期康复情况。方法:选择接受胸腔镜下室缺修补术患者27例和同期接受开胸室缺修补术患者20例,均采用中等剂量芬太尼和异氟醚为主行静吸复合麻醉。胸腔镜组胸内操作期间采用高频喷射呼吸机(HFJV)维持通气。结果:麻醉及手术时间胸腔镜组均长于开胸组(P<0.01),两组术中血流动力学均平稳,SPO2均在97%以上,术后监护室留观时间和住院时间胸腔镜组短于开胸组(P<0.05)。结论:胸腔镜下室缺修补术较常规开胸手术创伤小,术后康复快。胸内操作期间,运用高频喷射通气可减小对手术视野干扰,同时可维持良好通气。
Abstract:
AIM:To investigate the application of high frequency jet ventilation in anestheticmanagementof video-assisted thoracoscopic surgery(VATS) in the closure of ventricular septal defect(VSD) and compare with the anesthetic management of open chest procedure in the closure of VSD,and observe the intraoperative condition and postoperative recovery states.METHODS: 27 patients undergoing VATS(V group) and 20 patients undergoing open-chest procedure(Ogroup)were studied.Intravenous inhalational combined anesthesia (fentanyl and isoflurane) was performed in all patients. High frequency jet ventilation (HFJV)was used during the period of intrathoracic procedure for VATS.RESULTS:The duration of anesthesia and operation were longer in V group than those in O group (P<0.01), and the duration of postoperative mechanical ventilation,ICU stay were shorter in V group than those in O group(P< 0.05).The hemodynamics were stable and SPO2>97% in both groups.CONCLUSION:VATS in the closure of VSD was mini-invasive compared with those of open chestp rocedure.The post operative recovery in patients of V group was faster than those in O group.During the period of intrathoracic procedure,HFJV could maintain the ventilation and minimize the interference of ventilation on the surgical procedure.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2002-6-3.
更新日期/Last Update: 2003-05-01