Suter P M, Schwieger I
Division des Soins Intensifs Chirurgicaux, Hôpital cantonal universitaire, Genève.
Helv Chir Acta. 1991 Sep;58(3):339-44.
Major chest wall surgery causes significant changes in respiratory function during the peri- and postoperative phases. These are predominantly due to lateral position, use of a double lumen endotracheal tube, one-lung anesthesia, loss of functional intrathoracic volume, postoperative pain and local hypoventilation, pulmonary superinfection and right heart dysfunction. In the present short review pathophysiological mechanisms, appropriate monitoring techniques and some therapeutic modalities are discussed.
重大胸壁手术会在围手术期和术后阶段引起呼吸功能的显著变化。这些变化主要归因于侧卧位、双腔气管内插管的使用、单肺麻醉、胸腔内功能容积的丧失、术后疼痛和局部通气不足、肺部重叠感染以及右心功能障碍。在本简短综述中，将讨论病理生理机制、适当的监测技术和一些治疗方式。
