气管性支气管患者单肺通气的研究进展  

Research progress on one-lung ventilation in patients with tracheal bronchus

作　　者：徐祗彪 张丽 刘郁鋆 赵林林 XU Zhibiao;ZHANG Li;LIU Yuyun;ZHAO Linlin(Department of Anesthesiology,Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China)

机构地区：[1]徐州医科大学附属医院麻醉科,221000

出　　处：《临床麻醉学杂志》2024年第3期320-323,共4页Journal of Clinical Anesthesiology

基　　金：徐州医科大学麻醉学院临床科研项目(XYMZ2023009)。

摘　　要：气管性支气管(TB)是一种罕见的先天性气管异常,指起源于气管的右肺上叶支气管。TB通常无明显症状,常因其他疾病行纤维支气管镜检查或CT检查时意外检出。根据气管性支气管开口的位置和可能的解剖变异,TB患者单肺通气对麻醉科医师是巨大挑战。本文根据Conacherl分型,对TB的诊断和单肺通气管理进行综述,以期为此类患者提供更完善的麻醉管理。Tracheal bronchus(TB)is a rarely congenital tracheal anomaly.TB is a rarely congenital tracheal anomaly,referring to the right upper lobe bronchus originating from the trachea.TB is often asymptomatic and often accidentally detected during fiberoptic bronchoscopy or computed tomography examination due to other diseases.Depending on the tracheal bronchial s opening position and possible anatomical distortion,one-lung ventilation management for TB patients can be extremely challenging for the anesthesiologists.This article reviews the Conacherl classification,diagnosis of tracheal bronchial and one-lung ventilation management in order to provide anesthesiologists with the better management for such patients.

关 键 词：气管性支气管 纤维支气管镜 计算机断层扫描 肺隔离 单肺通气 

分 类 号：R614[医药卫生—麻醉学]