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气管节段性切除术中的指征问题及人工通气(作者译)

[Problem in indication and artificial ventilation during segmental resection of the trachea (author's transl)].

作者信息

Dragojevic B, Buess G, Thoma R, Klaschik E, Pichlmaier H

出版信息

Langenbecks Arch Chir. 1980;351(2):99-103. doi: 10.1007/BF01237615.

Abstract

Based on clinical experience and lung function data (bronchial resistance and inspiratory and expiratory FEV1) obtained in experiments with stenosis in the front of the mouth, bronchial resistance and inspiratory and expiratory FEV1 should first be determined. Resection of tracheal stenosis is indicated at a bronchial resistance of more than 5 cm H2O/1/s. This corresponds to a stenosis diameter of less than 8 mm. In the case of carinal resection, one lung can be ventilated by artifical respiration for a short time only. The data obtained during resection confirm the well-known requirement of clamping the opposite pulmonary artery.

摘要

根据临床经验以及在口前部狭窄实验中获得的肺功能数据(支气管阻力以及吸气和呼气时的第一秒用力呼气容积),应首先测定支气管阻力以及吸气和呼气时的第一秒用力呼气容积。当支气管阻力超过5厘米水柱/秒时,表明需要切除气管狭窄。这相当于狭窄直径小于8毫米。在隆突切除的情况下,只能在短时间内通过人工呼吸对一侧肺进行通气。切除过程中获得的数据证实了夹闭对侧肺动脉这一众所周知的要求。

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