Coopdech支气管封堵器在开胸手术中的应用  

The application of coopdech bronchial occluder in thoracic surgery

作　　者：王纯辉[1] 姜徽[1] 赵庆[1] 刘训芹[1] 

机构地区：[1]安徽医科大学第一附属医院麻醉科,合肥230022

出　　处：《安徽医科大学学报》2010年第5期704-706,共3页Acta Universitatis Medicinalis Anhui

摘　　要：目的观察Coopdech支气管封堵器用于胸科手术行单肺通气的可行性。方法选择术中需行单肺通气的胸科手术患者40例,随机分为两组,每组20例。A组用单腔气管导管,插管固定后从中置入支气管封堵器至目标肺侧支气管;B组常规插入双腔气管导管,用听诊器听诊确定导管位置并固定。观察两组患者插管及定位时间、单肺通气的成功率及单肺通气前后心率(HR)、平均动脉压(MAP)的变化情况。结果两组患者插管成功率差异无统计学意义(P>0.05),A组支气管封堵器插管及定位时间长于B组(P<0.01),单肺通气前后HR、MAP的变化差异无显著性(P>0.05);两组术侧肺萎缩及手术视野暴露效果优良率差异无统计学意义(P>0.05)。结论盲插Coopdech支气管封堵器行单肺通气的成功率与双腔气管导管相当,且其操作简单、不需要特殊的设备,值得临床推广应用。Objective To observe the feasibility of Coopdech bronchial occluder for one-lung ventilation in thoracic surgery. Methods Forty patients undergoing thoracic surgery of single-lung ventilation were randomly divided into Coopdech bronchial occluder（ group A） and double-lumen endotracheal tube（ group B） with 20 cases each. Group A received a single lumen tracheal tube,Coopdech bronchial occluder was inserted to the target bronchus after tracheal intubationand fixed under the help of a stethoscope ; group B received a double -lumen endotracheal tube ,the endotracheal tube was fixed after auscultation with a stethoscope. The intubation and positioning time,success rate of one-lung ventilation,heart rate（ HR） ,mean arterial pressure（ MAP） were recorded. Results All patients had a successful intubation at the first attempt. There were no significant difierences in HR and MAP before and after onelung ventilation between the two groups（ P 0. 05） ; The time of intubation and positioning in group A was longer than that in group B（ P 0. 05） . Conclusion Coopdech bronchial occluder applied for one-lung ventilation is as good as double lumen endotracheal tube,due to its simple procedure and without special equipment,bronchial occluder deserve spreading in clinic.

关 键 词：胸外科手术 肺通气 插管法 气管内 

分 类 号：R655[医药卫生—外科学] R768[医药卫生—临床医学]