| 循序渐退法行左侧双腔支气管插管的临床研究 |
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| 引用本文： | 颜勇军,郑珈琳,钟庆,汪辉德,陈涛,邬瑞刚,陈光忠. 循序渐退法行左侧双腔支气管插管的临床研究[J]. 实用医院临床杂志, 2011, 8(5): 60-62 |
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| 作者姓名： | 颜勇军 郑珈琳 钟庆 汪辉德 陈涛 邬瑞刚 陈光忠 |
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| 作者单位： | 1. 四川省安岳县人民医院麻醉科,四川,安岳,642350
2. 四川省简阳市人民医院麻醉科,四川,简阳,641400 |
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| 摘 要： | 目的探讨循序渐退法用于左侧双腔支气管导管(left-sided double lumen endobronchial Tube,L-DLT)插管及纤维支气管镜(fiberoptic bronchoscope,FOB)辅助插入深度的定位。方法 80例实施择期开胸和胸腔镜手术的全麻患者采用计算机随机法分为传统听诊法组(A组)和循序渐退法组(W组)各40例。均采用静脉麻醉诱导,待患者意识丧失肌肉松弛后行L-DLT操作。W组采用循序渐退法行左侧双腔支气管插管;A组按传统听诊法定位。观察定位时间、FOB检查置管深度、实际到位率以及气管插管相关并发症。结果定位时间两组差异无统计学意义(P>0.05),置管深度和实际到位率A组均明显优于W组(P<0.05)。经FOB检查,A组错位原因中插入过深最主要,且明显多于W组(P<0.05)。结论 循序渐退法用于左侧双腔支气管插管,能够显著提高正确到位率。
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| 关 键 词： | 双腔支气管导管 纤维支气管镜 开胸手术 |
Clinical study on gradual withdrawal method with left-sided double-lumen endobronchial tube for tracheal intubation |
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| YAN Yong-jun,ZHENG Jia-lin,ZHONG Qing,WANG Hui-de,CHEN Tao,WU Rui-gang,CHEN Guang-zhong. Clinical study on gradual withdrawal method with left-sided double-lumen endobronchial tube for tracheal intubation[J]. Practical Journal of Clinical Medicine, 2011, 8(5): 60-62 |
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| Authors: | YAN Yong-jun ZHENG Jia-lin ZHONG Qing WANG Hui-de CHEN Tao WU Rui-gang CHEN Guang-zhong |
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| Affiliation: | YAN Yong-jun1,ZHENG Jia-lin1,ZHONG Qing2,WANG Hui-de2,CHEN Tao2,WU Rui-gang2,CHEN Guang-zhong2(1.Department of Anesthesiology,Anyue People's Hospital,Anyue 642350,China,2.Department of Anesthesiology,Jianyang People's Hospital,Jianyang 641400,China) |
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| Abstract: | Objective This study aimed to investigative gradual withdrawal method on tracheal intubation by left-sided double-lumen endobronchial tube(L-DLT) and positioning of the depth of penetration fiberoptic bronchoscope(FOB).Methods Eighty adult patients who scheduled for video-assisted or/and thoracic surgery were randomly assigned to group A(n=40) using traditional auscultation method and group W(n=40) using gradual withdrawal method for tracheal intubation.After standard intravenous anesthetic induction,insert... |
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| Keywords: | Double-lumen endobronchial tube Fiberoptic bronchoscope Thoracotomy |
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