保护性肺通气用于人工气胸胸腔镜食管癌的安全性研究

Protective Effect of Protective Lung Ventilation on Single Cavity Tracheal Intubation with CO_2 Artificial Pneumothorax for Thoracoscopic Esophagectomy

目的探讨保护性肺通气用于单腔气管插管二氧化碳人工气胸胸腔镜食管癌根治术的安全性。方法从我院收治的患者中,选取60例采用胸腔镜食管癌根治术的患者为观察对象,分为对照组和观察组,对照组患者采取双腔气管插管、观察组采取单腔气管插管。结果插管后60分钟和手术结束后15分钟两个时间点采取单腔气管插管的观察组患者pH值明显降低;MAP、SPO_2、气道压观察组均高于对照组。结论保护性肺通气用于单腔气管插管二氧化碳人工气胸法在胸腔镜食管癌根治术中应用具有较高的安全性和可靠性,值得在临床中推广。

Objective To explore the safety of protective lung ventilation(pneumotracheal intubation)for single cavity endotracheal intubation by thoracoscopic thoracoscopic resection of esophageal cancer.Methods Among the patients admitted to our hospital.They were divided into control group and observation group.The control group received double lumen endotracheal intubation,and the observation group received single lumen endotracheal intubation.Results After 60 minutes of intubation and two minutes after operation,15 minutes and two minutes after operation,the pH value of the observation group was significantly lower than that of the control group.The MAP,SPO2 and airway pressure in the observation group were all higher than those in the control group.Conclusion The application of protective lung ventilation to single chamber tracheal intubation and carbon dioxide pneumothorax is safe and reliable in thoracoscopic esophagectomy.It is worth popularizing in clinical practice.