气管内径值指导选择左侧双腔支气管导管型号  

Tracheal diameter guide the choice of left double-lumen endobronchial tube size

作　　者：尧银光[1] 吴炜[1] 羊丽丽[1] 王传光[1] 

机构地区：[1]浙江省丽水市中心医院麻醉科,323000

出　　处：《临床麻醉学杂志》2014年第4期360-362,共3页Journal of Clinical Anesthesiology

基　　金：2010年度丽水市第二批医学重点建设学科科技项目(丽科[2010]57号)

摘　　要：目的比较两种选择双腔支气管导管(DLT)型号的方法及临床使用效果。方法将300例使用DLT行单肺通气的择期胸外科手术患者,随机均分为两组:传统方法组(A组),根据患者身高、体重选择型号;气管内径值组(B组),根据螺旋CT测量患者的气管内径值选择合适型号,每组150例。记录患者的性别、年龄、身高、体重、疾病种类、使用DLT型号、合适度评价指标、肺萎陷质量、术后24h并发症的发生情况。结果与A组比较,B组DLT型号较大,导管的适合度和肺萎陷质量明显升高,术后24h并发症的发生率明显降低(P<0.05)。结论根据螺旋CT测量气管内径值能较准确选择合适的DLT型号。Objective To evaluate two approaches of choosing left double-lumen endobronchial tube size on the clinical efficacy of selected tube. Methods Three hundred patients scheduled for elective thoracic surgery who required one-lung ventilation withleft double-lumen endobronchialtube were randomly allocated into two equal groups with 150 patients each as follows., traditional method group （group A）, in which group tube size was selected according to patients＇ height and weight, and tra- cheal diameter group （group B）, in which tube size was choosed based on chest computed tomographic （CT） scan measurement of tracheal diameter. Patients＇ sex, age, height, weight, diseases type, as well as left double-lumen endobronchial tube size selected, fitness of selected tube, degree of pulmonary collapse, and complications 24 hours after operation were recorded. Results Group B had a larger tube size, higher fitness, better pulmonary collapse, and fewer complications compared with group A （P〈0.05）. Conclusion The double-lumen endobronchial tube size selected according to chest CTscan of tracheal diameter may be more relatively appropriate and accurate.

关 键 词：气管内径值 单肺通气 双腔支气管导管 

分 类 号：R614[医药卫生—麻醉学]