临床麻醉学杂志2024,Vol.40Issue(3) :320-323.DOI:10.12089/jca.2024.03.018

气管性支气管患者单肺通气的研究进展

Research progress on one-lung ventilation in patients with tracheal bronchus

徐祗彪 张丽 刘郁鋆 赵林林
临床麻醉学杂志2024,Vol.40Issue(3) :320-323.DOI:10.12089/jca.2024.03.018

气管性支气管患者单肺通气的研究进展

Research progress on one-lung ventilation in patients with tracheal bronchus

徐祗彪 1张丽 1刘郁鋆 1赵林林1
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作者信息

  • 1. 221000 徐州医科大学附属医院麻醉科
  • 折叠

摘要

气管性支气管(TB)是一种罕见的先天性气管异常,指起源于气管的右肺上叶支气管.TB通常无明显症状,常因其他疾病行纤维支气管镜检查或CT检查时意外检出.根据气管性支气管开口的位置和可能的解剖变异,TB患者单肺通气对麻醉科医师是巨大挑战.本文根据Conacherl分型,对TB的诊断和单肺通气管理进行综述,以期为此类患者提供更完善的麻醉管理.

Abstract

Tracheal bronchus(TB)is a rarely congenital tracheal anomaly.TB is a rarely congenital tracheal anomaly,referring to the right upper lobe bronchus originating from the trachea.TB is often asymp-tomatic and often accidentally detected during fiberoptic bronchoscopy or computed tomography examination due to other diseases.Depending on the tracheal bronchial's opening position and possible anatomical distor-tion,one-lung ventilation management for TB patients can be extremely challenging for the anesthesiologists.This article reviews the Conacherl classification,diagnosis of tracheal bronchial and one-lung ventilation management in order to provide anesthesiologists with the better management for such patients.

关键词

气管性支气管/纤维支气管镜/计算机断层扫描/肺隔离/单肺通气

Key words

Tracheal bronchus/Fiber bronchoscopy/Computed tomography/Pulmonary isolation/One-lung ventilation

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基金项目

徐州医科大学麻醉学院临床科研项目(XYMZ2023009)

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29
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