气管导管斜面向右引导支气管堵塞器盲探置入对单肺通气患儿的影响  

Effect of tracheal catheter obliquely facing right in guidance of blind insertion of bronchial occluder for the patients with single-lung ventilation

作　　者：裴冬杰[1] 肖婷[1] PEI Dongjie;XIAO Ting(Department of Anesthesia,Children′s Hospital in Hu′nan Province,Changsha,Hu′nan,410007)

机构地区：[1]湖南省儿童医院麻醉科,湖南长沙410007

出　　处：《实用临床医药杂志》2019年第8期45-46,50,共3页Journal of Clinical Medicine in Practice

基　　金：湖南省卫生计生委科研计划课题项目(B2017117)

摘　　要：目的探讨气管导管开口斜面向左或向右引导支气管堵塞器盲探置入在单肺通气患儿中的临床疗效及安全性。方法选取本院接受诊断治疗的70例右侧开胸术患儿作为研究对象,随机分成观察组(气管导管斜面向右)和对照组(气管导管斜面向左),每组35例。比较2组患儿的基线资料及相关临床指标、术后并发症发生情况。结果 2组患儿基线资料无显著差异(P> 0. 05)。观察组封堵时间显著短于对照组,一次到位成功率高于对照组,术后气道水肿及低氧血症发生率显著低于对照组(P <0. 05)。结论调整气管导管开口斜面向右可有效缩短封堵总耗时间,提高一次到位成功率,降低术后并发症发生率。Objective To explore the clinical efficacy and safety of blind insertion of bronchial occluder for children with one-lung ventilation under the guidance of tracheal catheter obliquely facing right or left.Methods A total of 70 children undergoing right thoracotomy in our hospital were selected as study subjects,and were randomly divided into observation group(trachea tube inclined to right)and control group(trachea tube inclined to left),with 35 cases in each group.The baseline data and related clinical indexes,and the incidence of postoperative complications were compared between the two groups.Results There was no significant difference in baseline data between the two groups(P>0.05).The blocking time in the observation group was significantly shorter,the rate of one-time success rate was higher,and the incidences of airway edema and hypoxemia after operation were significantly lower than that in the control group(P<0.05).Conclusion The adjustment of the opening slope of the tracheal catheter to the right can effectively shorten the total time-consuming of plugging,improve the one-time insertion success rate,and reduce the incidence of postoperative complications.

关 键 词：气管导管 单肺通气 支气管堵塞器 低氧血症 气道水肿 

分 类 号：R725.6[医药卫生—儿科]