| 汪国香,黄丽霞,万海方,陶凡,王振.肺结核患者单肺通气时PetCO2和PaCO2的相关性研究[J].浙江中西医结合杂志,2014,24(9): |
| 肺结核患者单肺通气时PetCO2和PaCO2的相关性研究 |
| Change and correlation between PaCO2 and PetCO2 during one-lung ventilation in patient with pulmonary tuberculosis |
| 投稿时间：2013-11-14 修订日期：2013-11-21 |
| DOI： |
| 中文关键词: 肺结核 单肺通气 PaC02 PetC02相关性 |
| 英文关键词:Pulmonary tuberculosis One-lung ventilation PaCO2 PetCO2 |
| 基金项目:杭州市卫生科技一般项目(No.2010A021) |
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| 中文摘要: |
| 目的：探讨肺结核患者单肺通气时动脉血二氧化碳(PaCO2)和呼末二氧化碳(PetC02)的变化及其相关性。方法：选择ASAI -Ⅱ级因肺结核病变择期行肺切除术患者27例,于双肺通气15 min,单肺通气后15min、30min和1h采集动脉血标本行血气分析,同时记录各相应时间点的PetC02。结果：不同时间点的PaCO2与PetC02呈直线相关(P<0.05),但单肺通气后15min、30min和1h与双肺通气15min比较PaCO2均显著升高(P<0.01),而PetC02各时间点之间差异无显著意义(P>0.05)。结论：肺结核患者行单肺通气麻醉过程中,PetC02与PaCO2之间尽管仍具有相关性,但随着手术时间的延长,PaCO2逐渐升高,而PetC02变化不明显,应适时行动脉血气分析以了解PaCO2值。 |
| 英文摘要: |
| Objective: To investigate the correlation between arterial partial pressure Of carbon dioxide(PaCO2) and end-tidal expiratory partial pressure Of carbon dioxide( PetCO2) during one-lung ventilation of patients with pulmonary tuberculosis . Methods: Pulmonary resections were performed on 27 patients with pulmonary tuberculosis. PaCO2, PetCO2 were measured 15 min following TLV and 15min, 30 min, 60 min following OLV. Results: There was correlation between PetCO2 and PaCO2at each point. PaCO2 after OLV 15min, 30min,1h were significantly higher than that of TLV(P<0.05). Conclusion: It was available to estimate PaCO2 by monitoring PetCO2 during OLV in patients with pulmonary tuberculosis. But it is also necessary to measure PaCO2 with prolonged |
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