| 谢晨,陈彬彬,刘涛,王亚红.超声引导下肺复张对纵膈肿瘤切除术后肺部并发症的影响[J].浙江中西医结合杂志,2022,32(8): |
| 超声引导下肺复张对纵膈肿瘤切除术后肺部并发症的影响 |
| Effect of lung ultrasound guided recruitment maneuvers on postoperative pulmonary complications after mediastinal tumor resectionXie Chen1, Chen Binbin2, Liu Tao1, Wang Yahong1 |
| 投稿时间：2021-11-29 修订日期：2022-03-22 |
| DOI： |
| 中文关键词: 纵膈肿瘤,肺超声,肺复张,肺不张 |
| 英文关键词:mediastinum tumor, lung ultrasound, recruitment maneuvers, atelectasis |
| 基金项目:湖州市科技计划专项资助(2018GYB41) |
|
| 摘要点击次数: 823 |
| 全文下载次数: 82 |
| 中文摘要: |
| 目的 探究胸腔镜纵膈肿瘤切除术术后即刻在肺超声实时引导下肺复张对术后肺不张及低氧血症发生率的影响。 方法 择取2021年4月至2021年11月我院胸腔镜纵膈肿瘤切除术54例,男34例,女20例,年龄18~65岁,BMI 17~29kg/m2,ASA Ⅰ或Ⅱ级。随机数字表将患者随机分为对照组(C组)与试验组(I组)。I组术后肺超声显示有肺不张时则在超声引导下肺复张,两组依次于拔管后30min、4h、8h、12h、24h、48h对两组患者进行肺超声检查,拔管后出现肺不张的患者对其按时进行翻身拍背。主要观察两组术后各时间段肺不张、低氧血症发生率及机械通气时间。结果 拔管后30min、4h、8h、12h、24h及 48h肺超声记录肺不张发生率I组较C组明显降低(P < 0.05)。术后低氧血症发生率I组较C组明显降低(P < 0.05),机械通气时间I组较C组显著改善(P < 0.05)。结论 胸腔镜纵膈肿瘤切除术后即刻在超声引导下肺复张可降低拔管后肺不张和低氧血症发生率并缩短机械通气时间。 |
| 英文摘要: |
| Objective To compare the effect of recruitment maneuvers under real-time lung ultrasound guided on the incidence of postoperative atelectasis and hypoxemia
during video-assisted thoracoscopic mediastinal tumor resection. Methods A total of 54 patients
with 34 males and 20 females undergoing thoracoscopic mediastinal tumor resection from April 2021 to November 2021,aged 18-65 years, BMI 17-29 kg/m2 and ASA physical status I or II, were randomly divided into control group (group C) and intervention group (group I). Recruitment maneuvers were performed in group I when atelectasis was showed by lung ultrasound, and lung ultrasound examination were performed in the two groups at 30min, 4h, 12h, 24h and 48h after extubation successively. Turning back time shot were performed with patients suffered from atelectasis after extubation. The incidence of postoperative atelectasis and hypoxemia and duration of mechanical ventilation in each period after operation were primary observed. Results There was no significant difference in the incidence of atelectasis before extubation between the two groups (P < 0.05). The incidence of postoperative hypoxemia in group I was significantly lower than that in group C (P < 0.05), and the duration of mechanical ventilation in group I was significantly reduced (P < 0.05). Conclusion The incidence of postoperative atelectasis and hypoxemia after extubation would be reduced and the duration of mechanical ventilation would shorten by recruitment maneuvers under lung ultrasound guided after surgery immediately during video-assisted thoracoscopic mediastinal tumor resection. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
