Abstract
Objective: To retrospectively analyse the lung ultrasound images of 60 patients undergoing thoracoscopic partial pneumonectomy and compare the difference of bilateral lung ultrasound images. Results: B3 lines were predominant in ventilating side lung, B7 lines and atelectasis were predominant in operative side lung. Conclusion: Short-term lung injury after one-lung ventilation is mainly on the ventilation side, and the main manifestation is pulmonary edema.
Highlights
One-lung ventilation is a commonly used ventilation method in thoracic surgery at present, but many studies have found that one-lung ventilation can cause certain lung injuries
The mechanism of lung injury was different on both sides
Invasive endoscopy is the main method in thoracic surgery, but single-lung ventilation is still the main ventilation method
Summary
One-lung ventilation is a commonly used ventilation method in thoracic surgery at present, but many studies have found that one-lung ventilation can cause certain lung injuries. The mechanism of lung injury was different on both sides. Mechanical barotrauma was the main injury on ventilation side, and mechanical stimulation induced inflammatory response. Local inflammatory reaction and reperfusion injury were mainly caused by surgical operation [1,2,3]. Whether there is a difference in ultrasound images of the two lungs has not been reported. Pulmonary ultrasound can accurately identify common pulmonary complications during the perioperative period, such as pulmonary edema, pneumothorax and atelectasis. The author conducted a study on ultrasound images of the two lungs in the department of chest, and the report is as follows
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