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适用于长时间支气管镜检查的麻醉。

Anaesthesia suitable for prolonged bronchoscopic examination.

作者信息

Attwood E C, Brooks W, Leckie W J

出版信息

Thorax. 1970 Sep;25(5):540-3. doi: 10.1136/thx.25.5.540.

Abstract

A technique of combined general and topical anaesthesia is described involving spontaneous ventilation. Patients aged 46 to 76 were examined in this way for periods varying between 5 and 25 minutes. Carbon dioxide elimination was satisfactory in all but 2 of 18 patients, and these 2 are discussed in detail. Capillary oxygen tension was maintained at a level of over 75 mm. Hg throughout all 11 examinations where oxygen was introduced at the proximal end of the bronchoscope, but dangerous hypoxaemia occurred in 2 patients in whom oxygen was not administered in this way.

摘要

描述了一种涉及自主通气的全身麻醉与局部麻醉联合技术。对年龄在46至76岁的患者采用这种方法进行检查,检查时间为5至25分钟不等。18例患者中除2例外,其余患者的二氧化碳排出情况均令人满意,并对这2例患者进行了详细讨论。在所有11次于支气管镜近端通入氧气的检查中,毛细血管氧分压维持在75毫米汞柱以上,但有2例未以这种方式给予氧气的患者发生了危险的低氧血症。

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本文引用的文献

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Anaesthesia for bronchoscopy.支气管镜检查的麻醉
Anaesthesia. 1955 Apr;10(2):171-2. doi: 10.1111/j.1365-2044.1955.tb01583.x.
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The acid-base metabolism. A new approach.酸碱代谢。一种新方法。
Lancet. 1960 May 14;1(7133):1035-9. doi: 10.1016/s0140-6736(60)90930-2.
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The safety of neostigmine.新斯的明的安全性。
Anaesthesia. 1961 Jul;16:346-54. doi: 10.1111/j.1365-2044.1961.tb13834.x.
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Ventilating bronchoscope.通气支气管镜
Anesthesiology. 1958 May-Jun;19(3):406-8.
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Anaesthesia for bronchoscopy.支气管镜检查的麻醉
Anaesthesia. 1953 Apr;8(2):128-9. doi: 10.1111/j.1365-2044.1953.tb12321.x.
10
A reassessment of anaesthesia by endotracheal insufflation.
Anaesthesia. 1965 Oct;20(4):442-60. doi: 10.1111/j.1365-2044.1965.tb04687.x.

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