Katsuno M
Department of Anesthesia, Otaru Second Municipal Hospital.
Masui. 1997 Dec;46(12):1599-601.
A 45-yr-old asthmatic male was undergoing urgent clipping of the cerebral aneurysm. On-line spirometry was performed by a Ultima produced by Datex Co., Ltd. Bronchospasm occurred just after the endotracheal intubation. Inspiratory airway pressure increased and ausculation of the chest revealed bilateral wheezing. On the screen of the ventilatory monitor, right- and downward shift of P-V loops was noted. Intravenous and inhalational bronchodilator therapy was started. Symptoms improved gradually and P-V loops were also normalized. This case demonstrates that the on-line spirometry is useful for estimating and recording the severity of the bronchospasm occurring during anesthesia.
一名45岁的男性哮喘患者正在接受脑动脉瘤紧急夹闭手术。使用Datex有限公司生产的Ultima进行在线肺活量测定。气管插管后立即发生支气管痉挛。吸气气道压力升高，胸部听诊可闻及双侧哮鸣音。在通气监测仪屏幕上，观察到压力-容积环向右下方移位。开始静脉和吸入支气管扩张剂治疗。症状逐渐改善，压力-容积环也恢复正常。该病例表明，在线肺活量测定有助于评估和记录麻醉期间发生的支气管痉挛的严重程度。
