60例电视胸腔镜手术的麻醉处理

The Narcotic Management of 60 Cases in Video-assisted Thoraco-scopicsurgery

目的:探讨和总结电视胸腔镜手术的麻醉处理方法。方法:全组病例均入室后开放颈内静脉,行桡动脉穿刺。诱导后插入Robertsha双腔支气管导管,手术开始后行单肺通气,监测ECG、有创BP、HR、CVP、Sp O2%、PetCO2。结果:有3例患者出现明显的氧饱和度下降,经分析调整后氧饱和度恢复正常。所有患者均顺利完成手术,拔除气管导管。随访无并发症发生。结论:术前正确的评估,成功的麻醉和术中管理,良好的单肺通气是电视胸腔镜手术成功的关键。

Objective： Study and summarize the Narcotic management ways of video-assisted thoraco-scopicsurgeries（VATS）Method：All the patients to be opened jugular vein and artery puncture,inserted Robertsha Dual Cavity Bronchus Vessel and one-lung ventilated when do the surgery,surveillant ECG,invasive BP,HR,CVP,Sp O2%,PetC O2.Results：Three ones are in Oxygen desaturation,and recover after adjustment. All the patients did successful surgery,removing trachea and without any complications.Conclusions：The accurate assessment before surgery,the successful narcosis,management in the course of surgery and good one-lung ventilation are the key points in VATS.