经鼻气管内插管抢救呼吸衰竭72例临床分析

目的 探讨经鼻气管内插管（NTI）在抢救呼吸衰竭患者的临床应用及其意义。方法72例手术后及非手术致急性呼吸衰竭患者应用直视NTI或盲探（BNTI）后呼吸机辅助机械通气。结果所有病例NTI成功，其中32例直视下NTI，26例BNTI，9例纤维支气管镜引导下行NTI，5例行清醒BNTI。插管操作时间20S至11min[（5．1±3．1）min]，导管留置时间2～21d[（9．3±5．9）d]。结论NTI是抢救呼吸衰竭患者的重要措施，在不具备纤维支气管镜条件下，NTI是抢救呼吸衰竭患者必备的急救技术。

Clinical analysis with 72 cases of respiratory failure rescued by nasotracheal intubation

Objective To investigate the clinical application and significance of nasotracheal intubation (NTI)on patients with respiratory failure.Methods 72 cases of post-operative and non-operative patients with respiratory failure were performed with urgent NTI or blind nasotracheal intubation(BNTI)and then mechanical venfilation.Results In all of the cases NTI were successful.32 cases received direct vision NTI;26 cases were BNTI:9 case8 were NTI through fibrobronchoscope and 5 cases were NTI under awake surface anesthesia.Operation were performed within 20 second to 11 minutes[(5.1±3.1)min].The remaining time of tracheal catheter were 2～21d [(9.3±5.9)d].Conclusion NTI was an important measure in rescuing the patients with respiratory failures.It is an essential rescue technique under the condition without fibrobronchoseope.