肺大泡切除术中低潮气量双肺通气最佳呼吸频率的研究  

Study on Optimal Respiratory Rate of Low Tidal Volume Ventilation in Pulmonary Bullae Resection

作　　者：周旋[1] 南锡浩[1] 张艳丽[1] 芦相玉[1] 陈猛[1] 张月顺[1] ZHOU Xuan;NAN Xi-hao;ZHANG Yan-li;LU Xiang-yu;CHEN Meng;ZHANG Yue-shun(Hongqi Hospital, Mudanjiang Medical College, Mudanjiang, Heilongjiang Province, 157001 China)

机构地区：[1]黑龙江省牡丹江医学院红旗医院

出　　处：《中外医疗》2019年第24期36-38,共3页China & Foreign Medical Treatment

基　　金：牡丹江市科学技术计划项目(Z2017s0028)

摘　　要：目的探讨肺大泡切除术中低潮气量双肺通气最佳呼吸频率。方法该次研究方便选取2017年2月—2018年1月收治慢性阻塞性肺病的17例患者。采取肺大泡切除术联合低潮气量。采用呼气末正压通气,低潮气量6mL/kg,呼吸比1∶2,6cmH2O以及呼吸频率20次/min。观察治疗结果。结果17例患者手术过程以及麻醉均较为顺利,其中有2例患者出现动态血压分压下降至87%、86%以下,对症处理后恢复。结论低呼气末正压、呼吸频率20次/min、低VT有利于肺大泡切除术术中机械通气,可增加有效通气量。Objective To investigate the optimal respiratory rate of low tidal volume ventilation in lung bullous resection. Methods Seventeen patients with chronic obstructive pulmonary disease from February 2017 to January 2018 were convenient selected and enrolled in the study. Take a pulmonary bullae resection combined with low tidal volume. Positive end-expiratory pressure ventilation, low tidal volume 6 mL/kg, respiratory ratio 1:2, 6 cmH2O and respiratory rate 20 times/min. Observe the treatment results. Results The surgical procedures and anesthesia were smooth in 17 patients. Among them, 2 patients had a dynamic blood pressure partial pressure drop to 87% and 86%, and recovered after symptomatic treatment. Conclusion Low positive end expiratory pressure, respiratory rate 20 beats/min, and low Vt are beneficial to mechanical ventilation during pulmonary bullae resection, which can increase effective ventilation.

关 键 词：双肺通气 低潮气量 肺大泡切除术 最佳呼吸频率 

分 类 号：R4[医药卫生—临床医学]