非气管插管麻醉在胸外科手术中的应用研究  

Application of Non Tracheal Intubation Anesthesia in Thoracic Surgery

作　　者：杨晓帆 张力为[1] 

机构地区：[1]新疆医科大学第一附属医院胸外科,新疆 乌鲁木齐

出　　处：《临床医学进展》2024年第3期1980-1985,共6页Advances in Clinical Medicine

摘　　要：非气管插管全身麻醉的应用,可以明显降低患者术后气道并发症的发生。据研究报道,保留患者自主呼吸的非气管插管全身麻醉正逐步在肺楔形切除术、肺大疱切除术、交感神经链切断术、胸膜肿物切除术等各类胸外科手术中被应用。对于严格选择的胸外科患者,自主呼吸下非插管麻醉下VATS的可行性、安全性和有效性已得到充分证明。这是一种很有前途的技术,具有一定的社会经济价值,因为它优于气管插管麻醉(例如手术后并发症少,手术时间短,出血量,术后恢复更快等)。The application of non-tracheal intubation general anesthesia can significantly reduce the occurrence of postoperative airway complications. According to research reports, non-tracheal intubation general anesthesia with self-breathing is gradually being used in various thoracic surgeries such as pulmonary wedge resection, pulmonary bullotomy, sympathetic chain amputation, and pleural mass resection. The feasibility, safety, and efficacy of VATS under spontaneous respiration and non-intubation anesthesia have been well demonstrated in highly selected thoracic surgery patients. This is a promising technique that has some socioeconomic value because it is superior to tracheal intubation anesthesia (such as fewer complications after surgery, shorter operation time, amount of bleeding, faster postoperative recovery, etc.).

关 键 词：非气管插管麻醉 胸外科 综述 

分 类 号：R61[医药卫生—外科学]