Guo X, Luo A, Ren H, Ye T, Smalhout B
PUMC Hospital, Beijing.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1997 Aug;19(4):293-6.
Application of rigid bronchoscopy in airway management after lobectomy of lung was recommended, and its significance was discussed.
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.
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 blood in the trachea and bronchi after lobectomy could be scavenged.
It was suggested that with the use of bronchoscopy the complications including postoperative atelectasis and bronchial-pleural fistulization could be reduced.
推荐硬质支气管镜在肺叶切除术后气道管理中的应用,并探讨其意义。
对3例行肺叶切除术且接受硬膜外联合全身麻醉的患者进行支气管镜检查。每位患者检查2次。第一次检查在麻醉诱导和插管后进行。第二次在手术结束时进行。
全身麻醉下的硬质支气管镜可清晰显示气管、支气管的内部结构及癌肿位置。直视下可清除肺叶切除术后气管和支气管内的分泌物及血凝块。
提示使用支气管镜可减少包括术后肺不张和支气管胸膜瘘等并发症。