Wilson Caroline A, Wilmshurst Sally L, Black Ann E
Department of Paediatric Anaesthesia, Great Ormond Street Hospital, London, UK.
Paediatr Anaesth. 2015 Jun;25(6):546-53. doi: 10.1111/pan.12626. Epub 2015 Feb 9.
Pediatric patients with pulmonary alveolar proteinosis require whole lung lavage to clear the accumulation of lipoproteinaceous material within the alveoli, to maintain respiratory function. Anesthesia for this presents a challenge due to preexisting respiratory failure, and the small diameter and length of the pediatric airway, which is often unable to accommodate existing one-lung isolation and ventilation equipment. Novel techniques to facilitate lung lavage on seven occasions are described and placed in the context of the existing literature to date.
患有肺泡蛋白沉积症的儿科患者需要进行全肺灌洗，以清除肺泡内脂蛋白物质的积聚，从而维持呼吸功能。由于患者已存在呼吸衰竭，且儿科气道直径小、长度短，往往无法容纳现有的单肺隔离和通气设备，因此对此类患者进行麻醉具有挑战性。本文描述了七次促进肺灌洗的新技术，并结合了迄今为止的现有文献进行阐述。
