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随着气管支气管外科的进步,隆突切除术作为扩大肺癌手术范围的一种方法逐步受到重视。安全的麻醉,娴熟细致的手术操作是完成隆突切除术的先决条件;而术后呼吸管理则是直接关系到手术的成败与否。 1983年我科做了二例右上肺叶隆突切除重建术、术后采用人工呼吸机辅助呼吸,取得了良好的效果。 方法是:手术结束后,留置气管导管送回监护室接同步呼吸机。(VTN-2绍兴三五仪表厂) 条件是:潮气量400-600 ml,呼吸频率18～24次/分,通气量8000～12000ml/分,呼吸压力15-20cmH_2O,时比1:1.2。在血气分析各项指标的指导下调节给O2浓度和呼吸机上参数,间隙通过气管导管吸痰,密切观察。
With the advancement of tracheobronchial surgery, protuberance resection as a method to expand the scope of lung cancer surgery has gradually received attention. Safe anaesthesia, meticulous and meticulous operation is the prerequisite for the completion of esophagectomy; and postoperative respiratory management is directly related to the success or failure of surgery. In 1983, our department performed two cases of resection and reconstruction of the right upper lobe protuberance, and used artificial respiration assisted respiration after surgery, and achieved good results. The method is: After the operation is completed, an indwelling endotracheal tube is sent back to the monitoring room to receive a synchronized ventilator. (VTN-2 Shaoxing Sanwu Instrument Factory) The conditions are: tidal volume 400-600 ml, respiratory rate 18-24 times/min, ventilation 8000-12,000 ml/min, respiratory pressure 15-20 cmH 2 O, ratio 1:1.2. Under the guidance of various indexes of blood gas analysis, O2 concentration and ventilator parameters were adjusted, and the gap was sucked through the endotracheal tube and observed closely.