高频通气在胸科手术中应用研究  

Application of High Frequency Ventilation in Thoracic Surgery

作　　者：刘乾 陶蕾[2] 

机构地区：[1]西安医学院,陕西 西安 [2]第四军医大学唐都医院麻醉科,陕西 西安

出　　处：《临床医学进展》2024年第1期1547-1551,共5页Advances in Clinical Medicine

摘　　要：增加单肺通气期间氧合,降低术后肺部并发症的发生率是提高胸科手术麻醉管理质量的基础,通气侧实施肺保护性通气策略可以在一定程度上改善预后,然而非通气侧肺泡持续萎陷造成的肺萎陷伤导致术后肺部并发症增加仍是难以避免的问题。1967年提出的高频通气,在ARDS的救治中广泛使用,能够提高患者氧合,维持肺泡膨胀。有报道,在胸科手术中应用高频通气,可减少术中非通气侧的肺泡萎陷,本文旨在对高频通气在胸科手术中应用的可靠性及局限性进行综述。Increasing oxygenation during one lung ventilation and reducing the incidence of postoperative lung complications are the basis for improving the quality of anesthesia management in thoracic surgery. The implementation of lung protective ventilation strategy on the ventilation side can im-prove the prognosis to a certain extent. However, the increase of postoperative lung complications caused by lung collapse injury caused by continuous collapse of alveoli on the non-ventilation side is still an unavoidable problem. High-frequency ventilation, proposed in 1967, is widely used in the treatment of ARDS, which can improve patient oxygenation and maintain alveolar expansion. It has been reported that the application of high frequency ventilation in thoracic surgery can reduce the collapse of alveoli on the non-ventilated side of the operation. This article aims to review the relia-bility and limitations of the application of high frequency ventilation in thoracic surgery.

关 键 词：单肺通气 高频通气 胸科手术 

分 类 号：R47[医药卫生—护理学]