Ho C S, Huang C L
Department of Anesthesiology, Taiwan Adventist Hospital, Taipei, R.O.C.
Acta Anaesthesiol Sin. 1994 Mar;32(1):7-12.
Since the development of video endoscopic surgery, the number of transthoracic endoscopic sympathectomy has been increasing. The use of double-lumen endobronchial tube or single-lumen endobronchial tube during anesthesia for these surgeries has been a controversial. 385 palmar hyperhidrosis patients divided into three groups: group I, under alterative one lung ventilation anesthesia with double-lumen endobronchial tube; group II, under alterative one lung ventilation anesthesia with single-lumen endobronchial tube; group III, under two lung ventilation anesthesia with single-lumen endobronchial tube were studied. All had received bilateral thoracoscopic sympathectomy. The age of patients ranged from 8 to 64 years old. There were 154 male and 231 female. The average anesthesia durations for group I, II and III were 38.56 +/- 10.28, 34.14 +/- 5.21, 31.83 +/- 3.34 min respectively. The variables considered in the study were: physique of the patients; duration of anesthesia; airway pressure changes; SaO2 changes during the operation and post-anesthesia complaints. We found that upon using double-lumen endobronchial tube, SaO2 levels was better maintained especially in the obese patients and the patients who had received a traditional surgical operation before.
自从电视胸腔镜手术开展以来，经胸内镜交感神经切除术的数量一直在增加。在这些手术的麻醉过程中使用双腔支气管导管或单腔支气管导管一直存在争议。将385例手掌多汗症患者分为三组：第一组，在双腔支气管导管交替单肺通气麻醉下；第二组，在单腔支气管导管交替单肺通气麻醉下；第三组，在单腔支气管导管双肺通气麻醉下进行研究。所有患者均接受了双侧胸腔镜交感神经切除术。患者年龄在8至64岁之间。男性154例，女性231例。第一组、第二组和第三组的平均麻醉时长分别为38.56±10.28、34.14±5.21、31.83±3.34分钟。该研究中考虑的变量有：患者体格；麻醉时长；气道压力变化；手术期间的动脉血氧饱和度（SaO2）变化以及麻醉后并发症。我们发现，使用双腔支气管导管时，尤其在肥胖患者和既往接受过传统手术的患者中，动脉血氧饱和度水平能得到更好的维持。
