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支气管镜检查中的注入-通气(作者译)

[Inject-ventilation in bronchoscopy (author's transl)].

作者信息

Gebert E, Deilmann M, Pedersen P

出版信息

Anaesthesist. 1979 Aug;28(8):378-89.

PMID:495920
Abstract

Jet ventilation initially described by Sanders has been modified and improved for use with the Storz bronchoscope. Theoretical and technical performance are discussed and the mechanical and physiological properties are dealt with e.g. FiO2, driving and endotracheal pressure, expiratory CO2 concentrations, blood gas analysis, pulmonary artery pressure and electrocardiographic changes. Using this method prolonged diagnostic and surgical procedures, such as cauterisation of bronchial adenoma, removal of foreign bodies from the airways especially of small children and bronchial toilet in status asthmaticus, are rendered free from problems for the anaesthetist. We believe that the inject ventilator is a very useful addition to endotracheal surgery.

摘要

最初由桑德斯描述的喷射通气已被改进并适用于斯托兹支气管镜。文中讨论了其理论和技术性能,并阐述了其机械和生理特性,如吸入氧浓度、驱动压力和气管内压力、呼气末二氧化碳浓度、血气分析、肺动脉压及心电图变化。使用这种方法,长时间的诊断和外科手术,如支气管腺瘤烧灼术、气道异物取出术(尤其是小儿气道异物取出)以及哮喘持续状态下的支气管灌洗术,对于麻醉师而言都不再困难。我们认为喷射通气机是气管内手术中非常有用的辅助设备。

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