[摘要]目的 了解并发支气管哮喘的肺部病变病人胸腔镜手术中，用罗哌卡因阻滞迷走神经对预防支气管哮喘发作的效果。方法 对15例并发支气管哮喘病人在全麻双腔气管插管下行胸腔镜手术，手术中在胸腔镜明视下于肺门处均匀注射5 g/L罗哌卡因10～15 mL阻断迷走神经及其分支，冲洗胸腔后关胸前再注射1次。记录阻滞前后病人的临床症状、动脉血气分析、肺功能变化。结果 与阻滞前比较，阻滞后病人临床症状明显改善，PaO2 上升，差异均有显著性( uc =3.700～3.946，P<0.01;t=3.911，P <0.01)。结论 胸腔镜手术中用罗哌卡因阻滞迷走神经可有效预防支气管哮喘发作，无副作用。

    [关键词] 哮喘;罗哌卡因;自主神经传导阻滞;胸腔镜检查

    EFFECT OF VAGAL BLOCK BY ROPIVACAINE ON PREVENTION OF BRONCHIAL ASTHMA DURING OPERATION

    MENG LAN， SHI FEI

    (Department of Anesthesiology， Municipal Hospital of Qingdao， Qingdao 266011， China)

    [ABSTRACT]ObjectiveTo observe the effect of vagal block using ropivacaine on preventing the attack of bronchial asthma during thoracoscopy. MethodsThoracoscopy was performed in 15 brachial asthma patients under general anesthesia ......