| 喉麻管在显微支撑喉镜经鼻插管中的应用 |
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| 引用本文： | 姚新梅. 喉麻管在显微支撑喉镜经鼻插管中的应用[J]. 临床和实验医学杂志, 2002, 1(1): 22-24 |
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| 作者姓名： | 姚新梅 |
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| 作者单位： | 首都医科大学2001级博士研究生,100053 |
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| 摘 要： | 目的观察喉麻管在显微支撑喉镜鼻插管中的应用.方法选择ASA Ⅰ～Ⅱ级需鼻插管的病人40例,入室后,静脉注射氟芬合剂,芬太尼,先以含有麻黄素的地卡因溶液行鼻腔及咽喉部喷雾表麻后,分为两组,Ⅰ组(喉麻管组)将会厌挑起后显露声门,用含有4%利多卡因2～2.5ml的喉麻管行气管内表麻.Ⅱ组(环穿组)嘱患者憋气,将4%利多卡因2～2.5ml经环甲膜穿刺注入气管,鼓励病人咳嗽以利麻醉药的扩散.插管成功后,给予1.5mg·kg-1异丙酚,万可松0.1mg·kg-1,吸入异氟醚维持麻醉.分别记录两组病人麻醉前、插管前、插管后血氧饱和度(SpO2)、血压(BP)、心率(HR)的变化.结果Ⅰ组病人麻醉诱导过程中,BP、HR平稳,患者舒适、无呛咳.Ⅱ组病人则BP、HR波动较大,呛咳明显.结论喉麻管用于显微支撑喉镜经鼻气管插管对心血管的影响显著轻于环穿组.
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| 关 键 词： | 支撑喉镜 鼻插管 环甲膜穿刺 喉麻管 |
| 文章编号： | 1671-4695(2002)01-0022-03 |
Application of the laryngotracheal topical anesthesia kit in micro- self- retaining laryngoscope surery during transnasal tracheal intubation |
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| Yao Xinmei. Application of the laryngotracheal topical anesthesia kit in micro- self- retaining laryngoscope surery during transnasal tracheal intubation[J]. Journal of Clinical and Experimental Medicine, 2002, 1(1): 22-24 |
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| Authors: | Yao Xinmei |
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| Affiliation: | Yao Xinmei.Department of Anesthesia,Beijing Frendship Hospital Affiliate of Captial University of Medical Sciences,Beijing 100050,China |
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| Abstract: | |
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| Keywords: | Micro-self-retaining Laryngoscope Transnasal tracheal intubation Thyrocricocentesis Laryngotracheal topical anesthesia kit |
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