Conacher I D, Dark J, Hilton C J, Corris P
Regional Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne.
Anaesthesia. 1990 Nov;45(11):971-5. doi: 10.1111/j.1365-2044.1990.tb14635.x.
The peri-operative anaesthetic management of 11 patients with pulmonary fibrosis undergoing single-lung transplantation is presented. Intra-operative problems, the early postoperative phase of recovery and intensive care, and other incidents in which general anaesthesia was required for the management of complications, are featured. Results, both short- and long-term, are mentioned. Major intra-operative events that cause concern appear to be related to the severity of the presenting illness and the development of respiratory failure. Others have reported the development of intra-operative cardiac failure. All cases were successfully managed operatively using conventional one-lung anaesthesia, although resort to partial cardiopulmonary bypass may have been indicated in some. The indications and attitudes to utilising cardiopulmonary bypass in the evolution of techniques for facilitating single-lung transplantation are reviewed.
本文介绍了11例肺纤维化患者单肺移植围手术期的麻醉管理。重点讲述了术中问题、术后早期恢复及重症监护情况，以及处理并发症时需要全身麻醉的其他事件。提及了短期和长期结果。引起关注的主要术中事件似乎与当前疾病的严重程度和呼吸衰竭的发展有关。其他人曾报道过术中发生心力衰竭。所有病例均采用传统的单肺麻醉成功进行了手术，尽管在某些情况下可能需要采用部分体外循环。本文还回顾了在促进单肺移植技术发展过程中使用体外循环的指征和态度。
