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| 口咽通气道辅助便携式纤支镜引导经口气管插管的临床应用 | |
| 引用本文： | 王小智,陈志乐,康福新. 口咽通气道辅助便携式纤支镜引导经口气管插管的临床应用[J]. 现代预防医学, 2011, 38(18): 3832-3833 |
| 作者姓名： | 王小智 陈志乐 康福新 |
| 作者单位： | 海南省农垦总医院重症医学科,海口,570311 |
| 摘 要： | [目的]探讨便携式纤支镜通过两侧带槽的口咽通气道引导经口气管插管在困难气道病人的应用及意义。[方法]18例评估为困难气道的ICU病人,存在经鼻气管插管禁忌,使用两侧带槽的口咽通气道的辅助,由便携式纤支镜引导经口气管插管,记录从开始置入纤支镜至完成气管插管的时间。观察气管插管过程中SPO2变化。观察口腔损伤及喉痉挛、心跳骤停等情况。[结果]全组18例插管均一次成功,从开始置入纤支镜至完成气管插管时间为30s～4min,所有患者插管过程中SPO2均在90%～98%之间,无一例口腔损伤、喉痉挛、心跳骤停等发生。[结论]使用两侧带槽的口咽通气道,能减少便携式纤支镜引导经口气管插管时间,操作方便、安全、成功率高、并发症少,值得推广应用。 |
| 关 键 词： | 便携式纤维支气管镜 口咽通气道 经口气管插管 |
CLINICAL VALUE OF OROPHARYNGEAL AIRWAY ASSISTING PORTABLE FIBEROPTIC BRONCHOSCOPY TO GUID ORALTRACHEA INTUBATION |
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| WANG Xiao-zhi,CHEN Zhile,KANG Fu-xin. CLINICAL VALUE OF OROPHARYNGEAL AIRWAY ASSISTING PORTABLE FIBEROPTIC BRONCHOSCOPY TO GUID ORALTRACHEA INTUBATION[J]. Modern Preventive Medicine, 2011, 38(18): 3832-3833 | |
| Authors: | WANG Xiao-zhi CHEN Zhile KANG Fu-xin |
| Affiliation: | WANG Xiao-zhi,CHEN Zhi-le,KANG Fu-xin.(ICU,Nongken General Hospital of Hainan,Haikou 570311,China) |
| Abstract: | [Objective]To study the clinical value of portable fiberoptic bronchoscopy through oropharyngeal airway grooved on both sides to guide oraltrachea intubation on patients of diffcult airway.[Methods]18 patients of difficult airway in intensive care unit had intubation prohibition through nasal airway,use oropharyngeal airway grooved on both side to assist portable fiberoptic bronchoscopy guided oraltrachea intubation.We record the time from the beginning of insert fiberoptic bronchoscopy to finishing of trac... |
| Keywords: | Portable fiberoptic bronchoscopy Oropharyngeal airway Oraltrachea intubation |
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