纤维支气管镜引导双腔支气管导管插管的临床观察  

Clinical analysis of the intubating of double-lumen endobronchial tube with fiberobronchoscope

作　　者：秦丹丹[1] 张学刚[1] 叶凤青[1] 黄中华[1] 李静[1] 胡彦艳[1] 

机构地区：[1]广西壮族自治区人民医院,南宁530021

出　　处：《陕西医学杂志》2007年第9期1143-1145,共3页Shaanxi Medical Journal

基　　金：广西科学基金青年基金资助(桂科青0339020)

摘　　要：目的:观察纤维支气管镜对双腔支气管导管插管的引导作用及患者血气分析结果。方法:对30例开胸手术患者在纤维支气管镜引导下行双腔支气管导管插管。并在术前,双肺通气,单肺通气15min,单肺通气30min时取动脉血行血气分析。结果:30例患者血氧饱和度,血氧分压及二氧化碳分压值均在正常范围。结论:在纤维支气管镜引导下的双腔支气管导管插管位置正确,不影响患者气体交换。Objective： To study the intubating of double-lumen endobroncbial tube with fiberobronchoscope and blood gas analysis. Methods： Thirty patients were intuhated of double-lumen endobronchial tube with fiberobronchoscope. Blood sample were taken from radial artery before anesthesia （T1）,both lungs were ventilated （T2） ,at 15,45 min of one-lung ventilation （T3-4） for blood gas analysis. Results： The number of oxygen saturation ,arterial blood oxygen partial pressure and arterial blood carbon dioxide partial pressure were normal in scope. Conclusion： The gas change will not be affected if the position of double-lumen endobronchial tube with fiberobronchoscope is right.

关 键 词：插管法 气管内 支气管镜检查 血气分析 胸外科手术 

分 类 号：R614.2[医药卫生—麻醉学]