气管、支气管重建中的呼吸管理  

Respiration Management in Surgery of the Trachea and Bronchus

作　　者：高天华[1] 周允中[1] 马毓芬[1] 周全福[1] 金耀辉 

机构地区：[1]上海市胸科医院

出　　处：《中国肿瘤临床》1995年第1期10-13,共4页Chinese Journal of Clinical Oncology

摘　　要：上海市胸科医院自１９９０年１月～１９９１年１２月，施行气管、支气管重建术２８例。男性１５例，女性１３例，年龄５～６２岁，术前均有不同程度气道阻塞史。在肿瘤摘除，气管断离时呼吸管理采用经口或经术野气管插管１４例；采用张缩气囊插管１４例；术中缺氧（ＳＰＯ２＜６０％１例），呼吸道阻力明显增加１例，气道完全阻塞１例，血液倒灌１例，全组无麻醉死亡。作者对各种呼吸管理方法进行了讨论。From June 1990 to December 1991,28 patients with obstructive diseases of the trachea and bronchus were treated with various surgical procedures at the Shaghai Chest Hospital.Ventilation was sustained by tracheal intubation during the course of the anastomosis in 14 cases and by specifically designed intubation in amother 14 cases.Hypoxemia occurred in 3 cases among whom high resistance of airway due to obstruction of airway in one case,blood aspiration into opposite lung in 1 and complete obstruction of airway in the other.This report reviews our experience with the respiration management in surgery of the trachea and bronchus.

关 键 词：气管 呼吸管理 张缩气囊插管 支气管 外科手术 

分 类 号：R653[医药卫生—外科学] R655.3[医药卫生—临床医学]