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局部麻醉下电视胸腔镜诊断治疗胸部疾病 被引量:5

VATS Under Local Anesthesia For the Diagnosis and Treatment of Thoracic Diseases
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摘要 目的:探讨局部麻醉下电视胸腔镜手术诊断、治疗胸部疾病的可行性。方法:局部麻醉并使用镇静剂下对30名患者采用胸腔镜进行诊断和治疗,滑石粉胸膜固定12例,肺大泡切除10例,肺楔形切除5例,胸膜活检3例。结果:所有患者无明显并发症。患者手术过程中有窦性心动过速发生,术前、术中、术后对比P<0.05,有显著差异。血压对比分析P>0.05,无显著差异。血氧饱和度对比分析P<0.05,无显著差异。结论:局部麻醉下电视胸腔镜手术是可行和有益的。 objective: To detect the feasibility of VATS under local anesthesia for the diagnosis and reatment of thoracic diseases. Methods: 30 cases including 12 pleurodesis, 10 bullae resection, 5 wedge resection and 3 pleural biopsy underwent VATS under local anesthesia and sedation for diagnosis and treatment: Results: There was no obvious complication occured. There was sinus tachy cardia during operation, showed difference before, during and after operation (P 〈 0.05). There was no difference in blood pressure and saturation of blood oxygen (P 〉0.05). Conclusion.. VATS in feasible and effective under local anesthesia.
出处 《内蒙古医学杂志》 2007年第2期163-164,共2页 Inner Mongolia Medical Journal
关键词 局部麻醉 电视胸腔镜手术 胸部疾病 Local anesthesia VATS Thoracic disease
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参考文献4

  • 1Neuk K,Kushibe R,Tojo T,et al.Thoracoscopic Vedge Resection of blebs under local anesthesia with sedation for treatment of a spontaneous pneumothorax[J].Chest,1997,111:230.
  • 2Mukaida T,Andou A,Pate H,et al.Thoracscopic operation for secondary pneumothorax under local and epidural anesthesia in high-risk patient[J].Ann Thora Sur,1998,65:925.
  • 3Tschopp JM,Brutsche M,Frey JG.Treatment pf complicated spontaneous pneumothorax by simple talc pleurodesis under thoracoscopy and local anesthesia[J].Thorax,1997,52:329.
  • 4李简,王晓新,贺钢枫,张诗杰,黄斌,陈鸿义.局部麻醉下电视胸腔镜肺切除术的探讨[J].中国微创外科杂志,2001,1(4):210-211. 被引量:5

二级参考文献8

  • 1何建行,杨运有,陈满荫,殷伟强,区景松,曾伦.电视胸腔镜手术41例[J].中华外科杂志,1994,32(10):586-588. 被引量:28
  • 2张敦华,陈英男,屠春林.胸腔镜检查在恶性胸腔积液诊断和治疗上的应用价值[J].中华肿瘤杂志,1996,18(2):123-126. 被引量:32
  • 3Ohbuchi T,Morikawa T,Takeuchi E,etal.Lobectomy:video-assisted thoracic surgery versus posterolateral thoracotomy.NipponKyobu Geka Gakkai Zasshi,1998,46:519-22.
  • 4Yim-APC.Cost-containing strategies in video-assisted thoracoscopic surgery.An Asianperspective.Surg Endosc,1996,10:1198~200.
  • 5Goldberg-kahn B,Healy JC,Bishop JW.The role of diagnosis:an comparison of fourdifferent strategies in the workup of solitary radiographic lunglesions.Chest,1997,111:870~76.
  • 6Swanson SJ,Jaklitsch MT,Mentzer SJ,et al.Management of the solitary pulmonarynodule:role of thoracoscopy in diagnosis and therapy.Chest,1999,116:523S~524S.
  • 7Mukaida T,Andou A,Date H,et al.Thoracoscopic operation for secondary pneumothoraxunder local and epidural anesthesia in high-risk patients.Ann Thorac Surg,1998,65:924~6.
  • 8刘桐林,王俊,陈鸿义,崔英杰,李曰民,王钵.103例胸腔镜手术临床分析[J].中国内镜杂志,1995,1(1):9-11. 被引量:11

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同被引文献67

  • 1容朝晖,沈策.咳嗽反射机制的研究进展[J].国外医学(呼吸系统分册),2005,25(3):168-171. 被引量:29
  • 2Tong Zhou Xiao-Ting Wu Ye-Jiang Zhou Xiong Huang Wei Fan Yue-chun Li.Early removing gastrointestinal decompression and early oral feeding improve patients' rehabilitation after colorectostomy[J].World Journal of Gastroenterology,2006,12(15):2459-2463. 被引量:73
  • 3宋言峥,江南,王萍,吴云舒,李简.局部麻醉下经电视胸腔镜和小切口开胸诊治胸膜、肺部疾病[J].中国胸心血管外科临床杂志,2007,14(3):188-191. 被引量:4
  • 4Pompeo E, Mineo D, Rogliani P, et al. Feasibility and results of awakethoracoscopic resection of solitary pulmonary nodules. Ann Thorac Surg,2004,78(5): 1761-1768.
  • 5Guarracino F, Gemignani R, Pratesi G, et al. Awake palliative thoracic surgeryin a high-risk patient: one-lung, non-invasive ventilation combined withepidural blockade. Anaesthesia, 2008,63(7): 761-763.
  • 6Cosmo GD, Aceto P, Gualtieri E, et al. Analgesia in thoracic surgery: review.Minerva Anestesiol, 2009,75(6): 393-400.
  • 7Qinong D, Lixia L, Yingfen L, et al. Anesthesia with nontracheal intubationin thoracic surgery. J Thorac Dis, 2012,4(2): 126-130.
  • 8Pompeo E. State of the art and perspectives in non-intubated thoracicsurgery. Ann TranslatMed, 2014,2(11): 106.
  • 9Katlic MR, Facktor MA. Non-intubated video-assisted thoracic surgery inpatients aged 80years and older. Ann Translat Med, 2015,3(8): 1-6.
  • 10Zhihua G, Wenlong S, Weiqiang Y, et al. Analysis of feasibility and safety ofcomplete video-assisted thoracoscopic resection of anatomic pulmonarysegments under non-intubated anesthesia. J Thorac Dis, 2014,6(1): 37-44.

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