Rommelsheim K, Thelen M, Hack G, Siedek M
Prakt Anaesth. 1976 Jun;11(3):165-73.
Radiological changes that may occur in the depenent lung when surgery is performed in the lateral position are generally of a transient nature; they disappear when the position of the patient is changed after the operation, but may, in some cases, be demonstrable post-operatively as atelectatic areas. From the second post-operative day onwards, and reaching a peak on the 5th post-operative day, there is an increased incidence of ventilatory disturbances and infiltrations. The course and distribution of these pulmonary disturbances point to post-operative immobilization in the recumbent position as the main causal factor.
在侧卧位进行手术时,下垂肺可能出现的放射学改变通常是短暂性的;术后患者体位改变后这些改变会消失,但在某些情况下,术后可能表现为肺不张区域。从术后第二天开始,通气障碍和肺部浸润的发生率增加,并在术后第5天达到高峰。这些肺部病变的病程和分布表明,术后卧位固定是主要的致病因素。