脉率和血氧饱和度监测在胸膜活检中的应用  

Clinic research of pulse rates and oxygen saturation monitoring on pleural biopsy

作　　者：王永斌 刘萍 陶凌 Wang Yongbin;Liu Ping;Tao Ling(Shanghai City,the first rehabilitation hospital,pulmonary function rehabilitation,Shanghai,200433,Chin)

机构地区：[1]上海市第一康复医院肺功能康复科,上海200433

出　　处：《当代医学》2018年第17期11-14,共4页Contemporary Medicine

摘　　要：目的探讨监测脉搏和血氧饱和度在局麻下胸膜活检的价值。方法分析收集摩洛哥沙温省穆罕默德五世医院2017年7月~2018年1月收治的13例大、中量胸腔积液患者资料,按摩洛哥操作常规,2%利多卡因200~300 mg局麻下行胸膜活检术以及无麻醉下行胸腔穿刺引流,记录操作过程中脉搏和血氧饱和度的变化以及胸膜反应的发生。结果在13例胸腔积液患者进行的15例次胸膜活检过程中,出现面色苍白,出冷汗,眩晕或晕厥、疼痛等症状合并脉率及血氧饱和度变化7例次,发生率46.7%。临床观察到脉搏和血氧饱和度的改变先于临床症状的出现。结论手掌式脉搏、血氧饱和度仪使用方便,能早期发现胸膜不良反应的发生,防止不良事件的发生具有临床应用价值。Objective To investigate the value of monitor the changes of pulse rate and oxygen saturation when pleura biopsy were undertaken with anesthesia. Methods Thirteen patients with pleural effusion from July 2017 to January 2018 were chosen as the research objects. According to Morocco routine operation, 2% lidocaine lower pleural biopsy had 200-300 mg and downward pleural puncture drainage, without anesthesia record operation in the process of pulse and the change of blood oxygen saturation and pleural reaction. Results In fifteen pleural biopsy, it were found that7 cases had changes in pulse and oxygen saturation with pale face、thorcalgia、cold perspiration and vertigo pain（7/15）, but the changes of the pulse and oxygen saturation were found before the occurrence of clinical symptoms during pleural biopsy. Conclusion It is convenient to use palmar pulse and oxygen saturation meter, which can detect the occurrence of pleural adverse reactions early and prevent the occurrence of adverse events.

关 键 词：脉搏 血氧饱和度 胸膜活检 胸膜反应 局部麻醉 

分 类 号：R561.3[医药卫生—呼吸系统]