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[在使用高能激光进行喉内手术干预期间提供肺部人工通气]

[Provision of artificial ventilation of the lungs during endolaryngeal surgical interventions using a high-energy laser].

作者信息

Strashnov V I, Pluzhnikov M S, Kolotilov L V, Uchvatkina M K, Ivanov B S, Gir E E, Shpakov V F, Dubikaĭtis A Iu

出版信息

Anesteziol Reanimatol. 1989 Sep-Oct(5):32-4.

PMID:2596713
Abstract

To ensure controlled lung ventilation in endolaryngeal surgical interventions, using a high-energy laser, use was made of normal frequency jet ventilation (NFJV) and high frequency jet ventilation (HFJV) through a non-inflammable fluoroplast catheter supplied at a distal end with a device fixing it in a central position. HFJV seems preferable, as endolaryngeal manipulations become more convenient. The study was performed in 118 patients. Venturi effect was observed only during ventilation through a tracheostomic canule. It has been established that, unlike NFJV, in HFJV gas exchange parameters are much better, though oxygenation in NFJV is satisfactory in all the patients.

摘要

为确保在内喉手术干预中使用高能激光时实现可控的肺通气,采用了通过远端配备将其固定在中心位置装置的不可燃氟塑料导管进行的常频喷射通气(NFJV)和高频喷射通气(HFJV)。由于内喉操作变得更加便利,HFJV似乎更可取。该研究在118名患者中进行。仅在通过气管造口插管通气期间观察到文丘里效应。已经确定,与NFJV不同,HFJV中的气体交换参数要好得多,尽管所有患者中NFJV的氧合情况都令人满意。

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