在開胸手術中,單肺通氣有時候是必要的。自從1931年已經開始使用單腔支氣管內管來做單肺通氣。因爲當單腔支氣管內管置入一側支氣管後僅能提供該側單肺呼吸,不能交替進行單肺及雙肺通氣,在目前文獻中並無利用它來達到手術中單肺及雙肺通切換的報告。在本病例中,我們使用一個換管通條來調整單腔支氣管內管的位置以完成在手術中切換單肺及雙肺通氣的功能。
One-lung ventilation is sometimes necessary for procedures performed through thoracotomy. Single lumen endobronchial tube has been used purposefully for one lung ventilation since 1931. However there are no reports on intra-operative alternation of one-lung and two-lung ventilations through the same single lumen endobronchial tube as it can only provide unilateral lung ventilation. We present a case in whom a tube exchanger was used to readjust tube position so as to provide alternation of one-lung and two-lung ventilations in a thoracoscopic procedure.