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| Application of CT 3D reconstruction measurement in the placement of bronchial occlusive device in newborn′s air passage |
| XU Yingyi SONG Xingrong TAN Yonghong LIU Wei PAN Yongying |
| Department of Anesthesiology, Guangzhou Women and Children Medical Center, Guangdong Province, Guangzhou 510120, China |
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Abstract Objective To explore the application of CT 3D reconstruction measurement in the placement of bronchial occlusive device in newborn′s air passage. Methods 28 cases of newborns underwent limited one-lung ventilation surgery in Guangzhou Women and Children Medical Center from January 2015 to September 2016 were selected as the subjects. They were randomly and evenly divided into the traditional group and CT group according to the placement mode of bronchial occlusive device. Bronchial occlusive device of the traditional group was placed in the blind-mate way namely with manual controlled breathing resistance combined with auscultation localization, while bronchial occlusive device of the CT group was placed guided by the CT 3D reconstruction measurement data. Two groups of children were compared for SpO2, EtCO2, PaO2 and PaCO2 at the time of double-lung ventilation (T1), immediate one-lung ventilation (T2), 10 min after one-lung ventilation (T3) and 10 min after pulmonary collapse (T4). Localization time of placement, pulmonary collapse time, pulmonary collapse quality, intraoperative catheter and the shift times of bronchial occlusive device before the operation were observed and counted. Air passage mucosal damage was evaluated by fibreoptic bronchoscope after operation. Results There were no statistical differences between two groups of children in SpO2, EtCO2, PaO2 and PaCO2 at T1 (P > 0.05). Compared with the traditional group, SpO2 and PaO2 increased at T2 and T3, while EtCO2 and PaCO2 decreased in CT group (P < 0.05). Compared with the traditional group, localization time and pulmonary collapse time were decreased, pulmonary collapse quality was improved, and air passage mucosal damage was decreased in CT group (P <
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