【摘要】 目的　探讨重症肺气肿患者在电视胸腔镜 (VATS)下行双肺减容术的术后监护。方法　对 8例肺减容术 (LVRS)术后送监护室监护患者 ,进行密切观察和仔细分析 ,通过中心静脉压的测定 ,监测循环系统 ,评估右心功能 ,调节输液量和滴速 ;予持续低流量吸氧 ,防止二氧化碳潴留 ;采取给湿化瓶加温蒸馏水的方法 ,湿化氧气 ,加强有效排痰 ,保持呼吸道通畅 ;安置患者舒适的半坐卧位 ,充分发挥膈肌的呼吸功能 ,提高呼吸功率。结果　术后患者肺功能均有逐步好转 ,血气分析结果正常 ,无二氧化碳潴留 ,8例患者均可作有效咳嗽、咯痰 ,生命体征平稳后转出监护室。结论　术后保持呼吸道通畅 ,合理的氧疗法 ,提高呼吸功率等是至关重要的。更多还原

【Abstract】 Objective To probe the monitoring of severe pulmonary emplysema after lungs volume reduction under television thoracoscope.Methods Eight custodial cases after lungs volume reduction were observed and analyzed. By way of measuring center vein pressure, we monitored circulatory system function and evaluated right heart function, then regulated the speed of transfusion. With low volume oxygen inhalation to prevent carbon dioxide retention. Meanwhile, oxygen was humidified to promote phlegm excretion. In order to keep respiratory tract unobstruction. We made patients keeping semireclining position to raise respiration efficiency.Results After operation the lungs function recovered step by step. The results of blood gas analysis is normal. 8 patients can cough and cough up phlegm, The Life signs were steady.Conclusions The keys were keeping respiratory tract unobstruction, reasonable low oxygen inhalation.更多还原