临床麻醉学杂志2024,Vol.40Issue(1) :97-100.DOI:10.12089/jca.2024.01.019

加速肺萎陷技术在胸腔镜手术中的应用进展

Application progress on accelerated lung collapse technique in thoracoscopic surgery

杭黎华 费叶晟 李玉琳
临床麻醉学杂志2024,Vol.40Issue(1) :97-100.DOI:10.12089/jca.2024.01.019

加速肺萎陷技术在胸腔镜手术中的应用进展

Application progress on accelerated lung collapse technique in thoracoscopic surgery

杭黎华 1费叶晟 1李玉琳1
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作者信息

  • 1. 215300 苏州市,江苏大学附属昆山医院麻醉科
  • 折叠

摘要

视频辅助胸腔镜手术(VATS)具有视野清晰、对呼吸生理影响小、术后疼痛轻和加速康复等优点,在临床上日渐普及.非通气侧肺萎陷是胸科手术重要环节,萎陷不良将影响手术视野并延缓手术进程,因此高质量肺萎陷是手术成功的基础.如何短时间内获得良好的肺萎陷质量已成为麻醉科医师关注的焦点.近年来,已有多种加速肺萎陷技术应用于临床,本文就非通气侧加速肺萎陷技术的应用进展进行综述,并介绍适用临床技术及其注意事项,旨在为临床实践提供参考.

Abstract

Video-assisted thoracoscopic surgery(VATS)has the advantages of clear visual field,minimal impact on physiology of respiratory,less postoperative pain,and a rapid recovery.Therefore,VATS is widely used in clinic.The non-ventilated lung collapse is the key point of thoracoscopic surgery,and the poor lung collapse on the operative side may damage the surgical exposure and prolongs the process of sur-gery.Therefore,high quality of lung collapse is the basis for the successful of surgery.How to achieve excel-lent quality of lung collapse in a short time has become the focus of anesthesiologists.In recent years,a vari-ety of speed lung collapse techniques have been applied in clinical practice.This article reviews the applica-tion progress of non-ventilated speeding lung collapse techniques,make introduction for clinical application,and discuss their consideration,to provide the reference for clinical practice.

关键词

视频辅助胸腔镜手术/肺萎陷/术后加速康复

Key words

Video-assisted thoracoscopic surgery/Lung collapse/Enhanced recovery after surgery

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基金项目

江苏省卫健委医学科研项目(M2021072)

昆山市高层次医学人才项目(Ksgccrc2004)

昆山市第一人民医院科技兴卫工程(CXTD21-C05)

出版年

2024
临床麻醉学杂志
中华医学会南京分会

临床麻醉学杂志

CSTPCDCSCD北大核心
影响因子:2.225
ISSN:1004-5805
参考文献量32
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