细光导纤维支气管镜在双腔气管插管中的应用体会(附90例报告)

目的 应用细光纤维支气管镜观察双腔管在气管内位置状况。方法 观察90例双腔气管插管，分为插管成功和需调整两个标准。插管成功51例，需调整39例，对发生原因进行了解。结果 需调整病例占插管总数的43．0％，最常见为导管过深或过浅，占需调整总数69．2％，其次为套囊充气不足占17．9％，方向错位7、7％，导管过细5．1％。以上发现的状况均在纤支镜明视下调整成功。结论 细光学纤维支气管镜对双腔气管插管准确定位有很大的帮助。

Applied experience of flexible fiberoptic bronchoscope during double channels endotracheal intubation(repost of 90 cases)

Objective: Flexible fibiroptic bronchoscope was used to observe the position of double channels endotracheal tube. Methods: Ninty patients needing double channels endotracheal intubation were divided into two groups, successful and adjusted intuloation. The first were 51, the second were 39. And the cause was investigated. Results: Adjusted patients made up 43% of the total. Deeper and shallower positions accounted for 69.2%. Less inflated cuff was 17.9%, false direction was 7.7%. and thinner tube was 5.1%. Above condition was successfully adjusted under fiberoptic branchoscope. Conclusion: Flexible fiberoptic branchoscope is helpful to exact orientation of double channels endotracheal intubation.