Cui Yiyao, Cui Yong
Department of Thoracic Surgery, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, China.
Zhongguo Fei Ai Za Zhi. 2020 May 20;23(5):393-401. doi: 10.3779/j.issn.1009-3419.2020.101.22.
Intraoperative aspiration is a common pulmonary complication in the surgery, anesthesia and position were main factors leading to the operative aspiration. In recent years, perioperative lung protection has attracted wide attention of thoracic surgeons and anesthetist; how to accelerate the process of postoperative rehabilitation, reduce the incidence of related complications and significantly improve the prognosis of patients, these have become a chief goal of surgical treatment. This article will center on operative aspiration and summarize it from anatomy, pathophysiology, manifestation, diagnosis, treatment and prevention.
术中误吸是手术中常见的肺部并发症,麻醉和体位是导致术中误吸的主要因素。近年来,围手术期肺保护受到胸外科医生和麻醉医生的广泛关注;如何加速术后康复进程,降低相关并发症的发生率,显著改善患者预后,已成为外科治疗的首要目标。本文将围绕术中误吸,从解剖学、病理生理学、表现、诊断、治疗及预防等方面进行综述。