文章摘要
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
  
DOI:10.12089/jca.2024.01.019
中文关键词: 视频辅助胸腔镜手术  肺萎陷  术后加速康复
英文关键词: Video-assisted thoracoscopic surgery  Lung collapse  Enhanced recovery after surgery
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)
作者单位E-mail
杭黎华 215300苏州市江苏大学附属昆山医院麻醉科  
费叶晟 215300苏州市江苏大学附属昆山医院麻醉科  
李玉琳 215300苏州市江苏大学附属昆山医院麻醉科 zjhanglihua@foxmail.com 
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中文摘要:
      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。
英文摘要:
      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 surgery. Therefore, high quality of lung collapse is the basis for the successful of surgery. How to achieve excellent quality of lung collapse in a short time has become the focus of anesthesiologists. In recent years, a variety of speed lung collapse techniques have been applied in clinical practice. This article reviews the application progress of non-ventilated speeding lung collapse techniques, make introduction for clinical application, and discuss their consideration, to provide the reference for clinical practice.
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