双腔支气管导管与支气管封堵器进行单肺通气对PetCO2和PaCO2的影响

doi:10.6040/j.issn.1671-7554.0.2015.262

山东大学学报（医学版） ›› 2015, Vol. 53 ›› Issue (11): 77-79.doi: 10.6040/j.issn.1671-7554.0.2015.262

双腔支气管导管与支气管封堵器进行单肺通气对PetCO₂和PaCO₂的影响

杨晓玫, 方宁宁, 易文波

山东大学齐鲁医院麻醉科, 山东济南 250012

收稿日期:2015-03-12 出版日期:2015-11-10 发布日期:2015-11-10
通讯作者: 易文波.E-mail:yiwenbo616@126.com E-mail:yiwenbo616@126.com
基金资助:
山东省自然科学基金(ZR2009CM098)

Effect of double-lumen-tube or bronchial blocker used for one-lung ventilation on PetCO₂ and PaCO₂

YANG Xiaomei, FANG Ningning, YI Wenbo

Department of Anesthesiology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China

Received:2015-03-12 Online:2015-11-10 Published:2015-11-10

摘要/Abstract

摘要： 目的对比分析双腔支气管导管(DLT)和支气管封堵器(BB)在单肺通气时对呼气末二氧化碳分压(PetCO₂)和动脉血二氧化碳分压(PaCO₂)的影响.方法 30例择期进行胸科手术的患者随机分为DLT组和BB组,每组15例.两组患者在麻醉诱导后进行BB或DLT置入,记录两组进行单肺通气后的PetCO₂和PaCO₂值.结果进行单肺通气时,DLT组的PetCO₂值高于BB组,PaCO₂值低于BB组, PetCO₂与PaCO₂相关性优于BB组.结论与使用BB相比,使用DLT进行单肺通气更有利于CO₂的排出.

关键词: 单肺通气, 双腔支气管导管, 支气管封堵器, 呼气末二氧化碳分压, 动脉血二氧化碳分压

Abstract: Objective To assess the effect of double-lumen-tube (DLT) and bronchial blocker for one-lung ventilation on partial pressure of end-tidal carbon dioxide (PetCO₂) and arterial partial pressure of carbon dioxide (PaCO₂). Methods Thirty patients were randomly assigned to DLT group (n=15) and BB group (n=15). After anesthesia induction, DLT or BB was intubated into the trachea. After one-lung ventilation, the values of PetCO₂ and PaCO₂ were recorded and analyzed. Results Compared with BB group, the PetCO₂ value was higher, the PaCO₂ value was lower, and the correlation between PetCO₂ and PaCO₂ was better in DLT group. Conclusion Compared with BB, DLT was better at exhalation of CO₂.

Key words: Bronchial blocker, One-lung ventilation, Partial pressure of end-tidal carbon dioxide, Double-lumen-tube, Arterial partial pressure of carbon dioxide

中图分类号:

R655.3

杨晓玫, 方宁宁, 易文波. 双腔支气管导管与支气管封堵器进行单肺通气对PetCO₂和PaCO₂的影响[J]. 山东大学学报（医学版）, 2015, 53(11): 77-79.

YANG Xiaomei, FANG Ningning, YI Wenbo. Effect of double-lumen-tube or bronchial blocker used for one-lung ventilation on PetCO₂ and PaCO₂[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(11): 77-79.

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双腔支气管导管与支气管封堵器进行单肺通气对PetCO₂和PaCO₂的影响

Effect of double-lumen-tube or bronchial blocker used for one-lung ventilation on PetCO₂ and PaCO₂

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