胸科手术中单肺通气肺萎陷技术的应用进展

doi:10.3969/j.issn.1006-5725.2024.20.001

摘要/Abstract

摘要：

相较于传统的开胸手术，胸腔镜手术（video-assisted thoracoscopic surgery， VATS）在手术视野范围较小、操作空间较窄的情况下进行，为了成功进行VATS手术，需要最大程度地优化肺隔离和肺萎陷的质量，延迟肺萎陷的麻醉技术可能阻碍胸外科手术。为了提高肺萎陷的速度和质量，临床上采取了诸多措施。该文就胸外科手术中单肺通气肺萎陷技术的应用和进展进行综述。

关键词: 双腔支气管导管, 肺萎陷, 单肺通气, 胸科手术

Abstract:

In comparison to conventional thoracotomy， video-assisted thoracoscopic surgery （VATS） is conducted in situations with a narrower surgical field and limited operational space. To successfully perform VATS， it is imperative to optimize the quality of lung isolation and collapse to the fullest extent. Delaying lung collapse might impede thoracic surgery. Various measures have been adopted clinically to enhance the speed and quality of lung collapse. This article provides a comprehensive review of the application and research of one-lung ventilation lung collapse technique in thoracic surgery.

Key words: double lumen tubes, lung collapse, one-lung ventilation （OLV）, thoracoscopic surgery

中图分类号:

R614

汤敏誉,梁鹏. 胸科手术中单肺通气肺萎陷技术的应用进展[J]. 实用医学杂志, 2024, 40(20): 2813-2818.

Minyu TANG,Peng. LIANG. Application and research progress of one-lung ventilation lung collapse technique in thoracic surgery[J]. The Journal of Practical Medicine, 2024, 40(20): 2813-2818.

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