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| 支气管肺泡灌洗治疗的麻醉管理进展 |
| Anesthetic management progress of bronchoalveolar lavage therapy |
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| DOI：10.12089/jca.2022.09.018 |
| 中文关键词: 支气管肺泡灌洗 间歇性高频喷射通气 右美托咪定 瑞马唑仑 艾司氯胺酮 |
| 英文关键词: Bronchoalveolar lavage Intermittent high-frequency jet ventilation Dexmedetomidine Remimazolam Esketamine |
| 基金项目:山东省重点研发计划项目（2018GSF118216） |
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| 中文摘要: |
| 支气管肺泡灌洗技术在呼吸系统疾病诊断与微创治疗方面应用广泛。局部麻醉下实施支气管肺泡灌洗时患者气道反应强烈，常难以耐受；全身麻醉的应用可以有效减轻支气管肺泡灌洗治疗期间患者气道反应，但会增加呼吸、循环抑制的风险。间歇性高频喷射通气模式能够提供较好的氧供，并减轻二氧化碳蓄积，且不增加肺损伤风险。右美托咪定、瑞马唑仑、艾司氯胺酮等麻醉药物的合理应用可以进一步降低患者呼吸抑制的风险，降低不良反应的发生率。 |
| 英文摘要: |
| Bronchoalveolar lavage has been widely used in the diagnosis and minimally invasive treatment of respiratory diseases. When bronchoalveolar lavage is administered under local anesthesia, the airway reaction is strong, which the patients often cannot tolerate. The application of general anesthesia can effectively reduce the airway reaction of patients during bronchoalveolar lavage treatment, but also increase the risk of respiratory circulation depression. Intermittent high-frequency jet ventilation provides better oxygen supply and reduces carbon dioxide accumulation without increasing the risk of lung injury. Rational use of anesthetic drugs such as dexmedetomidine, remimazolam and esketamine can further reduce the risk of respiratory depression and reduce the incidence of adverse reactions. |
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