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中华肺部疾病杂志(电子版) ›› 2026, Vol. 19 ›› Issue (05) : 874 -877. doi: 10.3877/cma.j.issn.1674-6902.2026.05.023

短篇论著

利多卡因复合小剂量艾司氯胺酮对肺叶切除术后肺部并发症的影响分析
张超城1,†(), 何炳灿1, 钟清肖1, 江振强2, 戴海军1   
  1. 1517000 河源,河源市人民医院(广东省人民医院河源医院)麻醉手术室
    2517000 河源,河源市人民医院(广东省人民医院河源医院)胸心外科
  • 收稿日期:2026-04-15 出版日期:2026-10-25
  • 通信作者: 张超城
  • 基金资助:
    广东省医学科学技术研究基金项目(B2023075)

Analysis of the effect of Lidocaine combined with low-dose Esketamine on postoperative pulmonary complications after lobectomy

Chaocheng Zhang†(), Bingcan He, Qingxiao Zhong   

  • Received:2026-04-15 Published:2026-10-25
  • Corresponding author: Chaocheng Zhang
引用本文:

张超城, 何炳灿, 钟清肖, 江振强, 戴海军. 利多卡因复合小剂量艾司氯胺酮对肺叶切除术后肺部并发症的影响分析[J/OL]. 中华肺部疾病杂志(电子版), 2026, 19(05): 874-877.

Chaocheng Zhang, Bingcan He, Qingxiao Zhong. Analysis of the effect of Lidocaine combined with low-dose Esketamine on postoperative pulmonary complications after lobectomy[J/OL]. Chinese Journal of Lung Diseases(Electronic Edition), 2026, 19(05): 874-877.

表1 两组患者临床资料结果比较
图1 肺叶切除术典型患者胸部CT图。图A为术前CT示右肺下叶外基底段(IM245)见实性结节,大小约14 mm×11 mm,呈分叶状,边缘稍毛糙,邻近胸膜粘连稍增厚。双肺支气管血管束增粗紊乱、增多;双肺透亮度增高,双肺叶胸膜下见多枚囊状透亮影,壁菲薄,大者约16mm×7 mm;双肺叶胸膜下见多发斑片状、结片状稍高、高密度影,边缘尚清,较前相仿。双肺尖胸膜下可见条索状、斑片状高密度影,其内见部分钙质密度灶,病灶边界清,邻近胸膜增厚粘连;图B为术后CT示右肺下叶呈术后缺口,右肺门见条片状致密影,周围脂肪间隙略模糊:右肺中叶见斑片状高密度影,边缘模糊。双肺支气管血管束增粗素乱、增多;双肺透亮度增高,双肺叶胸膜下见多枚囊状透亮影,壁菲薄,大者约16 mm×7 mm;右肺上叶及左肺叶胸膜下见多发斑片状、结片状稍高、高密度影,边缘尚清,与前相仿。双肺尖胸膜下可见条索状、斑片状高密度影,其内见部分钙质密度灶,病灶边界清,邻近胸膜增厚粘连,右肺上叶病灶较前增多
表2 两组患者VAS评分及补救镇痛效果比较
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