硬性支气管镜在肺叶切除术后气道管理中的应用探讨

Application of Rigid Bronchoscopy in Airway Management after Lobectomy of Lung

介绍硬性支气管镜检查在胸科肺叶切除术后气道管理中的应用方法及其意义。在改膜外及全身麻醉下对3例因肺癌拟行肺叶切除术的患者分别在全麻诱导气管插管后以及关胸后实施了硬性支气管镜检查。结果表明，在全身麻醉下行硬性支气管镜检查可清晰显示气管、支气管内部结构及病变部位。直视下，可彻底清除肺叶切除术后气管、支气管内的分泌物及凝血块。作者认为在肺叶切除术后行支气管镜检查可减少术后肺不张及支气管胸膜疼等并发症发生率。

Objective Application of rigid bronchoscopy in airway management after lobectomy of lung was recommended, and its significance was discussed. Methods Bronchoscopies were performed in three patients scheduled for lobectomy of lung undergoing epidural plus general anesthesia .Each patient was examined two times. The first examination was done after anesthetic induction and intubation. The second was given at the end of operation. Results Rigid bronchoscopy under general anesthesia could clearly show the inner structures of trachea, bronchi and location of carcinoma. Under direct version, the secretion and sludged bldri in the trachea and bronchi after lobectomy could be scavenged. Conclusion It was suggested that with the use of bronchoscopy the complications including postoperative atelectasis and bronchial-pleural fistulhation could be reduced.