1、 48 , ( ) 25 ( ) 23 , 2 , 2 , , , (P0.05) , 1.2 1.2.1 (1) ; (2) ; (3) 1.2.2 (1) ; (2) , ; (3) , , 6cm, ; (4) 1.3 ( 120203, ) , ( , 120402, ) , ( , 120202, EuroCePtB.V, ) , 130/0.4 ( , 14CH734106, Fresenius Kabidautachiand GmbH, ) , ( 12032113, ) , ( 1201130021, ) Datex S/5 AespireT100 (Datex-Ohmeda
2、Inc., ) , , VBM cuff pressure gange (VBM Mediziniechnik GmbH, ) , Datex-Ohmeda S/5 Aesthesia Monitor (GE Datex-Ohmeda Inc., ) , LMA-Proseal , (Mallinckrodt Medical Inc., ) Stat ProfileRCritical Care Xpress Analyzer (Nova Biomedical Corporation, ) , Bene View T8 ( ) , Olympus LF-GP (4.0 mm, Olympus C
3、o., ) , Graseby 3500anaesthesia pump (Smith Medical MD, Inc., ) 1.4 30min (0.05mg/kg) (0.01 mg/kg) , , 5070kg 4# , 70kg 5# 3 20min, , 1.5 1.5.1 , , , BeneViewTS (pulse oxygen saturation, SpO2) 10min , , ( 2.5 mg/L) ( ;0.15 mg/kg Datex S/5Aespire7100 , (end-tidalcarbon dioxide partial pressure, PETCO
4、2) (peak inspiratory pressure, Ppeak) (pulmonary dynamic compliance, Cdyn) (minute ventilation, MV) , PETCO2 2842 mmHg 20 min , , 1.5cm, , , 1.6 , 50%6, , , , 1.5.2 , , , BeneViewTS SpO2 10min , , ( 33.5mg/L) ( (0.2 mg/kg) ; Datex S/5Aespire7100 , 810mL/kg, 15 /min, 50% PETCO2 Ppeak Cdyn MV 5, PETCO
5、2 3240 mmHg , , , , , SpO2 90% 1.6 , , 1 X 24h , 24h 100mL, 1.7 : , , , PETCO2 SpO2 : , , , , 1.8 SPSS 19.0 t ; P0.05) 1 1 2 Table 1 Observation index comparison between 2groups of patients 3 , , , 6 , , , , , 7-8 3 , , , , 9 10 11 Liu 12 , , , 13-16 , , , , 17 , , , , 25 , , , , , (P0.05) , , , , ,
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7、ockade is associated with impaired clinical recoveryJ.Anesth Analg, 2013, 117 (1) :133-141. 5 , , , .I-gel J. , 2015, 43 (11) :72-74. 6 , , . J. , 2013, 39 (9) :1103-1104. 7Gulat M, Mohta M, Ahuja S, et al.Comparison of laryngeal mask airway with tracheal tube for ophthalmic surgery in paediatric pa
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9、YS, et al.Feasibility and safety of nonintubated thoracoscopic lobectomy for geriatric lung cancer patientsJ.Ann Thorac Surg, 2013, 95 (2) :405-411. 10 , , , . J. , 2013, 14 (7) :836-838. 11 , , , . J. , 2013, 33 (5) :756-760. 12Liu J, Cui F, Li S, et al.Nonintubated video-assisted thoracoscopic sur
10、gery under epidural anesthesia compared with conventional anesthetic option:a randomized control studyJ.Surg Innov, 2015, 22 (2) :123-130. 13Hung MH, Cheng YJ, Chan KC, et al.Nonintubated uniportal thoracoscopic surgery for peripheral lung nodulesJ.Ann Thorac Surg, 2014, 98 (6) :1998-2003. 14Hung MH
11、, Cheng YJ, Hsu HH, et al.Nonintubated unipertal thoracoscopic segmentectomy for lung cancerJ.J Thorac Cardiovasc Surg, 2014, 148 (5) :e234-e235. 15Hung MH, Hsu HH, Cheng YJ, et al.Nonintubated thoracoscopic segmentectomy-left upper lobe trisegmentectomyJ.Ann Cardiothorac Surg, 2014, 3 (2) :208-210. 16liu J, Cui F, Li S, et al.Nonintubated video-assisted thoracoscopic surgery under epidural anesthesia compared with conventional anesthetic option:a randomized control studyJ.Surg Innov, 2014, 22 (2) :123-130. 17 , , , .Supreme J. , 2012, 32 (9) :1043-1046.
