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病例报告:胸腔镜检查后摆动气监测

Case report: Post-thoracoscopy pendelluft monitoring.

作者信息

Xiao Zhibin, Zhang Na, Zhang Xiajing, Lu Wenjun, Gao Changjun, Sun Xude

机构信息

Department of Anesthesiology, The Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, China.

Department of Anesthesiology, The 986th Air Force Hospital, Xijing Hospital, The Air Force Medical University, Xi'an, Shaanxi, China.

出版信息

Front Med (Lausanne). 2023 Mar 2;9:1108637. doi: 10.3389/fmed.2022.1108637. eCollection 2022.

Abstract

Asynchronous alveolar ventilation is called pendelluft, which may induce lung injury in spontaneously breathing patients. We report a case that electrical impedance tomography (EIT) was used to assess the pendelluft in a post-thoracoscopy patient. The pendelluft amplitude was as high as 77.5% of the tidal variation. The average regional time shift was 0.5 s. The patient was instructed to adjust the breathing method, symptomatic treatment was performed, and the symptoms were improved. This is the first case reporting pendelluft in a post-thoracoscopy patient. Our case demonstrated that (1) pendelluft may occur in post-thoracoscopy patients and it effects lung function, and (2) early identification of affected patients and implementation of corresponding treatments could improve patient outcomes.

摘要

异步肺泡通气被称为摆动气,这可能会在自主呼吸的患者中导致肺损伤。我们报告了一例使用电阻抗断层扫描(EIT)评估胸腔镜检查术后患者摆动气的病例。摆动气幅度高达潮气量变化的77.5%。平均区域时间偏移为0.5秒。指导患者调整呼吸方式,进行对症治疗,症状得到改善。这是首例报告胸腔镜检查术后患者出现摆动气的病例。我们的病例表明:(1)胸腔镜检查术后患者可能会出现摆动气并影响肺功能;(2)早期识别受影响的患者并实施相应治疗可改善患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a71/10017850/9899ac9f62d1/fmed-09-1108637-g0001.jpg

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