经特制胸腔闭式引流管行局麻胸腔镜检查的实验研究

Thoracoscopy through a specially designed closed thoracic drainage tube under local anesthesia

  • 摘要: 目的 对设计制作新型胸腔闭式引流管功能进行初步研究。方法 将医用硅胶管制成类"Y"型胸腔闭式引流管。以犬为实验动物,经该胸管完成常规局麻胸腔镜检查步骤,比较检查过程中实验犬的心率、血压、血氧饱和度、氧分压的变化。结果 经特制胸腔闭式引流管可方便完成常规局麻胸腔镜的检查。在术前、开放性气胸状态、控制性闭合性气胸状态三种情况下心率、舒张压、呼吸次数差异无统计学意义(P>0.05);开放性气胸状态下收缩压较高(P<0.05);血氧饱和度、氧分压较低(P<0.05)。结论 特制胸腔闭式引流管便于行局麻胸腔镜检查,完全可以替代LTF-240型胸腔镜专用的软性trocar,且能减轻操作对实验犬生理的影响,有较好的应用前景。

     

    Abstract: Objective To study the function of a new shape closed thoracic drainage tube. Methods A Y shape closed thoracic drainage tube was made with medical silica.Routine thoracoscopy was performed in dogs under local anesthesia through the "Y" shape closed thoracic drainage tube.Changes in heart rate,blood pressure,oxygen saturation and partial oxygen pressure of dogs were compared. Results Routine thoracoscopy could be easily completed in dogs under local anesthesia through the Y shape closed thoracic drainage tube.No significant difference was found in heart rate,diastolic blood pressure and respiratory rate of dogs with open and controlled closed pneumothorax(P>0.05).However,the systolic blood pressure of dogs with open pneumothorax was higher and their oxygen saturation and partial oxygen pressure were lower(P<0.05). Conclusion The Y shape closed thoracic drainage tube can be used in routine thoracoscopy under local anesthesia instead of the special flexible trocar for LTF-240 thoracoscope(Olympus,Tokyo,Japan),thus having a good prospect.

     

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