保留自主呼吸非气管插管麻醉电视胸腔镜手术的研究进展  

Research Advances in Non-Intubated Anesthesia with Spontaneous Breathing for Thoracoscopic Surgery

作　　者：陈金华 麦永锴 郭兆麟 CHEN Jinhua;MAI Yongkai;GUO Zhaolin(Department of Anaesthesiology,The Tenth Affiliated Hospital of Southern Medical University(Dongguan People’s Hospital),Dongguan,Guangdong 52300,China)

机构地区：[1]南方医科大学第十附属医院(东莞市人民医院)麻醉科,广东东莞523000

出　　处：《中国医药指南》2025年第11期49-51,共3页Guide of China Medicine

基　　金：2022年东莞市社会发展科技项目(20221800902392)。

摘　　要：在中国医疗技术发展下,腹腔镜在临床应用十分广泛,特别对胸科疾病治疗中,如双腔支气管导管,能达到单肺通气,使手术中获得的视野更大,在外科手术中发挥重要的应用价值。基于双腔管气管插管引起的肺部感染、心脏功能损伤以及神经肌肉阻滞等并发症,使麻醉科和胸外科对保留自主呼吸非气管插管麻醉电视胸腔镜手术予以重点关注。本文通过麻醉方式、适应证和禁忌证方面分析,明确保留自主呼吸非气管插管麻醉电视胸腔镜手术的应用作用,彰显其一定价值。Under the development of medical technology in China,laparoscopy is widely used in clinical practice,especially in the treatment of thoracic diseases.For example,the double-lumen bronchial catheter can achieve single lung ventilation,make the field of vision obtained in the operation is larger,and play an important application value in surgery.Based on the complications such as pulmonary infection,cardiac function damage and neuromuscular block caused by endotracheal intubation,the department of anesthesiology and thoracic surgery paid close attention to the TV thoracoscopic surgery of reserved spontaneous breathing non-endotracheal intubation anesthesia.Through the analysis of anesthesia methods,indications and contraindications,this paper clarified the application of TV thoracoscopic surgery for spontaneous breathing non-endotracheal intubation,and highlights its certain value.

关 键 词：自主呼吸 非气管插管 麻醉 胸腔镜手术 综述 

分 类 号：R614[医药卫生—麻醉学]