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目的比较瑞芬太尼-丙泊酚与芬太尼-丙泊酚全凭静脉麻醉在双肺同期大容量肺灌洗术中生命体征变化及术后苏醒程度,并比较不同品牌Robershaw双腔管在肺灌术中气管导管不良事件发生率。方法观察组(Ⅰ组)采用短效U阿片受体激动剂瑞芬太尼代替芬太尼,配合丙泊酚持续静脉泵入,常规使用法国Teleflex公司Rusch品牌的左型Robershaw管,合理使用羟乙基淀粉200/0.5等措施。结果观察组术中生命体征稳定,气管导管就位准确率高、气管导管移位等不良事件发生率低,两肺灌洗间隔时间短、术毕苏醒快而完全、无延迟呼吸抑制。结论瑞芬太尼-丙泊酚全凭静脉麻醉配合法国Teleflex公司Rusch品牌的左型Robershaw管,合理使用羟乙基淀粉200/0.5用于双肺同期大容量肺灌洗术中患者生命体征稳定、双腔支气管导管无移位、术毕苏醒快而完全,值得推广应用。
Objective To compare the changes of vital signs and the degree of postoperative recovery of remifentanil-propofol and fentanyl-propofol by intravenous anesthesia during the same period of large-capacity lung lavage. The incidence of tracheal catheter adverse events during lung shunting. Methods The observation group (group Ⅰ) received short-acting remifentanil instead of fentanyl and continuous intravenous infusion of propofol. The left-handed Robershaw tube of Rusch brand of France Teleflex Company was routinely used. The rational use of hydroxyl Ethyl starch 200 / 0.5 and other measures. Results The observation group had stable vital signs during operation, high tracheal catheter placement accuracy, low incidence of adverse events such as tracheal tube displacement, short interval between two lung lavages, rapid and complete recovery after operation, and no delayed respiratory depression. Conclusion The remifentanil-propofol combined intravenous anesthesia with the left-hand Robershaw tube of the Rusch brand of Teleflex, France, and the rational use of hydroxyethyl starch 200 / 0.5 for the stabilization of vital signs in patients with concurrent lung lavage , Double-lumen bronchial catheter without shift, surgery quickly and completely wake up, it is worth promoting application.