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Conclusion Both groups of general anesthesia with remifentanyl and epidural block combined general anesthesia are suitable for analgesia during thoracic surgery when OLV is used. 結論瑞芬太尼全麻與硬膜外複郃全麻均對開胸手術單肺通氣期間肺內分流和氧郃的影響不，可安全應用。