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Analysis and Comparison of the Effect of Preserving Spontaneous Breathing Without Intubation and Endotracheal Intubation with One Lung Ventilation in single-hole Thoracoscopic Bulla Suture

引用

Journal of Clinical and Nursing Research 2022年第5期6卷 99-105页

作者： Hefei Li Pei Liu Yanhong Shang Zhimin Guo Biao Zhang Kuo Xiao Qiang Guo Xianyi Liu Department of Thoracic Surgery Affiliated Hospital of Hebei UniversityBaoding 071000China Department of Medical Oncology Affiliated Hospital of Hebei UniversityBaoding 071000China Department of General Surgery Affiliated Hospital of Hebei UniversityBaoding 071000China

Objective:To explore the situation of patients and the compare the effect between two methods,which are preserving spontaneous breathing without intubation and endotracheal intubation with one lung ventilation in the single-hole thoracoscopic bulla ***:42 patients who received single-hole thoracoscopic pulmonary bullae suture in our hospital from January 2020 to December 2021 were selected as the study subjects,including 19 patients who underwent endotracheal intubation and one lung ventilation as the control group and 23 patients who underwent single-hole thoracoscopic pulmonary bullae suture without intubation as the study *** relevant indexes,postoperative general conditions,complications and pneumothorax recurrence of the two groups were analyzed and ***:In the control group,the scores of anesthesia time(points),resuscitation time(points),surgical visual field score(points),surgical time(points),and surgical bleeding volume(points)were 20.8±4.6,19.9±7.9,1.7±0.5,44.9±7.9,and 11.4±2.4 *** the study group,the scores of anesthesia time(points),resuscitation time(points),surgical visual field score(points),surgical time(points),and scores of surgical bleeding(points)were 17.9±4.3,15.4±3.4,1.9±0.4,48.4±7.1,10.9±2.2,*** was no statistical difference in surgical visual field score,surgical time and surgical bleeding whereas there was a statistical difference between anesthesia time and resuscitation *** the control group after operation,VAS score at 6 hours after operation,SaO_(2)(%)after operation,PaCO_(2)(mmHg)after operation,drainage volume(ML)after operation,feeding time(H)after operation,retention time of thoracic tube after operation(H),WBC(109)on the first day after operation,hospitalization time(d),and total hospitalization cost(RMB 1000)were 2.1±0.7,98.2±1.4,42.4±4.9,139.1±23.1,6.9±1.6,37.1±5.4,7.9±2.1,6.6±1.3,and 2.6±0.3 *** for the study group,the VAS score at 6 hours after operation,SaO_

关键词： Spontaneous breathing One lung ventilation single-hole thoracoscopy

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