胸科手术单肺通气麻醉时通气肺peep通气.doc

胸科手术单肺通气麻醉时通气肺peep通气.doc

  1. 1、本文档共7页,可阅读全部内容。
  2. 2、有哪些信誉好的足球投注网站(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
  3. 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载
  4. 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
查看更多
胸科手术单肺通气麻醉时通气肺peep通气

两种不同通气方式在胸科单肺通气麻醉中的临床观察 龙勤,唐延先,雷晓峰 (重庆市肿瘤研究所麻醉科,重庆 400030) 摘 要:目的 探讨单侧肺通气时通气肺呼气末正压通气positive end-expiratory pressure,PEEP)与非通气肺持续气道正压通气continuous positive airway pressure ,CPAP)预防低氧血症的效果。 食管癌术例,2~75岁,随机分为PEEP组(P组)和CPAP组(C组),每组例。单肺通气30分钟后P组在通气肺给予5cmH2O PEEP,C组在非通气肺给予5cmH2O CPAP。双肺通气30分钟(T)、单肺通气30分钟(T)、P组/C组通气30分钟(T)及60分钟(T)HR)、平均动脉压(MBP)、脉搏氧饱和度(SPO2PETCO2)、动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)及动脉血的酸碱值(PH)。 两组在T时T1时有显著性差异(P0.05),无显著性差异(P0.05)两组在T、T时T2时有显著性差异(P0.05),无显著性差异(P0.05)两组各时期HR、MBP、SPO2PETCO2无显著性差异(P0.05)。 通气肺呼气末正压通气PEEP)与非通气肺持续气道正压通气CPAP)可有效预防单肺通气低氧血症R614.2 文献标识码:A Clinical observation of two different patterns during one-lung ventilation in the Anesthesia for Chest opened Surger LONG Qin, TANG Yan-xian, LEI Xiao-feng (Department of Anesthesiology, Cancer Institute of Chongqing 400030) Abstract:Objective To approach the Clinical effects of preventing hypoxemia between PEEP of the ventilated lung and CPAP of non-ventilated lung during one-lung ventilation. Methods patients(aged62~75 yrs) undergoing esophagus carcinoma surgery were randomly divided into tow groups(n= each):group PEEP(group P) and group CPAP(group C).After 30 min of one-lung ventilation, PEEP of the ventilated lung in group P was administered by 5cmH2O , and CPAP of the non-ventilated lung in group C was administered by 5cmH2O too. HR,MAP,SPO2, PETCO2, PaO2, PaCO2 and PH of 30 min after two- lungs ventilation(T1), 30 min after one-lung ventilation(T2) ,30 min after PEEP and CPAP ventilation(T3), 60 min after PEEP and CPAP ventilation(T4) were recorded. Results There was significant difference in PaO2 of two groups at T2 and T1(P0.05), but there were no significant difference in PaCO2 and PH of two groups at T2 and T1(P>0.05); There was significant difference in PaO2 of two groups at T3,T4and T2(P0.05), but there were no significant difference in PaCO2 and PH of two groups at T3,T4and T2(P>0.05); There were no significant difference in HR,MBP,SPO2 and PETCO2

文档评论(0)

ailuojue + 关注
实名认证
内容提供者

该用户很懒,什么也没介绍

1亿VIP精品文档

相关文档