Strange C
Medical Intensive Care Unit, Medical University of South Carolina, Charleston.
Clin Chest Med. 1991 Sep;12(3):497-506.
Double-lumen endotracheal tubes have revolutionized the anesthetic management of patients undergoing thoracic surgery. As experience with the techniques of DLT placement and monitoring progress, an increasing number of uses in the intensive care unit will evolve. Benefit from differential lung ventilation in patients with respiratory failure from unilateral lung diseases and bronchopleural fistulae has been documented in selected instances. Isolation of the lungs to prevent contralateral spread of hemoptysis is occasionally of assistance. Frequent monitoring of DLT position while understanding the physiology of differential lung ventilation will minimize complications with these tubes.
双腔气管导管彻底改变了胸外科手术患者的麻醉管理方式。随着双腔气管导管置入和监测技术经验的积累，其在重症监护病房的应用也会越来越多。在某些特定情况下，单侧肺部疾病和支气管胸膜瘘导致呼吸衰竭的患者可从肺隔离通气中受益。隔离肺部以防止咯血向对侧扩散偶尔也有帮助。在了解肺隔离通气生理机制的同时，经常监测双腔气管导管的位置将使这些导管相关并发症降至最低。
