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[在单肺通气期间使用氧化亚氮作为脉搏血氧饱和度监测下全身麻醉的组成部分]

[Use of nitrous oxide as a component of general anesthesia monitored by pulse oximetry during one-lung ventilation].

作者信息

Gorobets G S, Saltanov A I, Izmaĭlov M A, Buĭdenok Iu V

出版信息

Anesteziol Reanimatol. 1993 Jan-Feb(1):42-3.

PMID:7943863
Abstract

Pulse oximetry was employed to monitor the arterial blood oxygenation during surgery of 300 patients with pulmonary carcinomas. N2O2 anesthesia in 2:1 ratio was administered to all the patients. Change for one-lung ventilation did not lead to changes of SpO2 in 59% of the patients, whereas in 41% of the patients this value reduced below 93%. Change of the gas ratio to 1:1 in 35% of the cases was found sufficient to elevate the SpO2 value to the norm and only in 6% of the patients N2O2 had to be excluded from the anesthesia scheme for the period of one-lung ventilation and artificial ventilation with pure oxygen had to be resorted to.

摘要

对300例肺癌患者手术期间采用脉搏血氧饱和度仪监测动脉血氧合情况。所有患者均采用2:1比例的N₂O₂麻醉。59%的患者单肺通气变化未导致SpO₂改变,而41%的患者该值降至93%以下。35%的病例中发现将气体比例改为1:1足以使SpO₂值恢复正常,仅6%的患者在单肺通气期间必须从麻醉方案中排除N₂O₂,而不得不采用纯氧进行人工通气。

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