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在肺脓肿或既往肺切除患者中使用双腔管联合支气管封堵器进行肺/叶隔离的新策略。

A new strategy in lung/lobe isolation in patients with a lung abscess or a previous lung resection using double lumen tubes combined with bronchial blockers.

机构信息

Department of Anesthesia Critical Care and Pain Management, Valencia University General Hospital, Tres Creus Avenue; Department of Surgery, Valencia University Medical School, Blasco Ibáñez Av, Valencia, Spain.

Department of Anesthesia Critical Care and Pain Management, Valencia University General Hospital, Tres Creus Avenue, Valencia, Spain.

出版信息

Ann Card Anaesth. 2022 Jul-Sep;25(3):343-345. doi: 10.4103/aca.ACA_16_21.

DOI:10.4103/aca.ACA_16_21
PMID:35799564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9387630/
Abstract

The combined use of a double-lumen tube and a bronchial blocker can be very helpful in two different clinical scenarios: (1) in isolating not only the contralateral lung, but also the lobe/s of the same lung in which the infected lobe must be resected, (2) in preventing/treating hypoxemia because of the presence of a contralateral lobectomy. A cardiothoracic anesthesiologist must expertise this technique to avoid complications during surgery.

摘要

双腔管和支气管封堵器的联合使用在两种不同的临床情况下非常有帮助

(1) 不仅可以隔离对侧肺，还可以隔离需要切除感染肺叶的同侧肺叶/段；(2) 可以预防/治疗因对侧肺叶切除术导致的低氧血症。心胸麻醉师必须精通这项技术，以避免手术期间发生并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/9387630/7c52c852ea79/ACA-25-343-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/9387630/376d3181eace/ACA-25-343-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/9387630/0df06c8fcb5b/ACA-25-343-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/9387630/7c52c852ea79/ACA-25-343-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/9387630/376d3181eace/ACA-25-343-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/9387630/0df06c8fcb5b/ACA-25-343-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/9387630/7c52c852ea79/ACA-25-343-g003.jpg

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A new strategy in lung/lobe isolation in patients with a lung abscess or a previous lung resection using double lumen tubes combined with bronchial blockers.在肺脓肿或既往肺切除患者中使用双腔管联合支气管封堵器进行肺/叶隔离的新策略。
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Ann Thorac Surg. 2016 Mar;101(3):e71-3. doi: 10.1016/j.athoracsur.2015.08.045.
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