雙腔支氣管內管麻醉與單腔氣管內管麻醉在倆側胸腔鏡交感神經切除術

Compairson of Double-Lumen Endobnonchial Versus Single-Lumen Endotracheal Tube Anesthesia in Bilateral Thoracoscopic Sympathectomy

何始生(Chee-Sang Ho) ； 黃琴喨(Chin-Liang Huang)

《Acta Anaesthesiologica Sinica》 32卷1期 (1994/03) Pp. 7-12

摘要

在胸腔內視鏡交感神經切除術逐漸廣泛流行的今天，雙腔支氣管內管麻醉與單腔氣管內管麻醉之應用亦漸成為廣泛爭議討論之焦點。本院自兩年前起開始使用胸腔內視鏡交感神經切除術至今共執行了385例，其中大部份病例接受雙腔支氣管內管麻醉，小部份病例接受單腔氣管內管麻醉。經比較麻醉時間的長短、患者體型上之差異、手術中SaO_2之變化、氣道壓力之變化、以及手術即後之主訴，發現各有利弊。但經由本研究證明，在安全度方面，使用雙腔支氣管內管麻醉較優。

關鍵字

雙腔支氣管內管 ； 單腔氣管內管 ； 胸腔內視鏡手術 ； 多汗症

並列摘要

Since the development of video endoscopic surgery, the number of transthoracic endoscopic sympathectomy has been increasing. The use of double-lumen endobronchial tube or single-lumen endobronchial tube during anesthesia for these surgeries has been a controversial. 385 palmar hyperhidrosis patients divided into three groups: group I, under alterative one lung ventilation anesthesia with double-lumen endobronchial tube; group II, under alterative one lung ventilation anesthesia with single-lumen endobronchial tube; group III, under two lung ventilation anesthesia with single-lumen endobronchial tube were studied. All had received bilateral thoracoscopic sympathectomy. The age of patients ranged from 8 to 64 years old. There were 154 male and 231 female. The average anesthesia durations for group I, II and III were 38.56 ± 10.28, 34.14 ± 5.21, 31.83 ± 3.34 min respectively. The variables considered in the study were: physique of the patients; duration of anesthesia; airway pressure changes; SaO_2 changes during the operation and post-anesthesia complaints. We found that upon using double-lumen endobronchial tube, SaO_2 levels was better maintained especially in the obese patients and the patients who had received a traditional surgical operation before.

並列關鍵字

Double-lumen endobronchial tube ； Single-lumen endotracheal tube ； Thoracoscopic Surgery ； Hyperhidrosis