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[全肺切除术后患者行肺叶部分切除术的麻醉管理]

[Anesthetic management for partial lobectomy in a postpneumonectomy patient].

作者信息

Fukumori-Okamoto Eriko, Nitahara Keiichi, Ikeda Shizuka, Yasumoto Masanobu, Higa Kazuo

机构信息

Department of Anesthegiology, Fukuoka University Hospital, Fukuoka 814 0180.

出版信息

Masui. 2005 Nov;54(11):1288-9.

PMID:16296371
Abstract

We report a postpneumonectomy patient who underwent partial lobectomy. A 74-year-old man was scheduled for right partial lobectomy because of metastatic lung cancer. He had undergone left pneumonectomy 19 months before because of lung cancer. Anesthesia was maintained with intravenous propofol and thoracic epidural block. During surgery, respiration was maintained with mechanical and intermittent manual ventilation. Percutaneous cardiopulmonary support and high frequency jet ventilation were at hand but were not needed. There was no intraoperative hypoxia and the postoperative course was uneventful.

摘要

我们报告了一例接受部分肺叶切除术的肺切除术后患者。一名74岁男性因转移性肺癌计划行右肺部分切除术。他曾在19个月前因肺癌接受了左肺切除术。麻醉采用静脉丙泊酚和胸段硬膜外阻滞维持。手术期间,通过机械通气和间歇性手动通气维持呼吸。备有经皮心肺支持和高频喷射通气设备,但未使用。术中无低氧血症,术后病程平稳。

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