食道堵塞引流法在急诊饱胃患者全麻诱导中的临床应用

目的探讨食道堵塞引流法在急诊饱胃患者全麻诱导中预防返流误吸的可行性。 方法回顾性选择2010年1月～6月120例急诊饱胃患者（观察组），全麻诱导时先盲探插入食道堵塞管（加强型钢丝气管导管）控制食道(该导管与外界相通，达到引流目的)，再常规诱导气管插管控制气道。与2009年7月～12月采用快诱导加环状软骨压迫的148例急诊饱胃患者（对照组）进行比较。观察记录并比较两组患者全麻诱导时呕吐、返流和误吸的发生情况。 结果对照组有14例患者发生呕吐、20例患者发生返流、有8例患者发生误吸，死亡患者1例。观察组只有2例患者发生呕吐，无返流误吸等并发症发生，两组比较差异有显著性（P<0.05）。 结论食道堵塞引流法用于急诊饱胃患者全麻诱导中预防返流误吸安全可行。

Application of Esophageal Jam-Drainage Skill During Induction of Anesthesia in Full-stomach Patients

ObjectiveTo investigate the feasibility of the Esophageal jam-drainage skill on prevention of regurgitation and aspiration during rapid sequence induction of general anesthesia in the patients with full-stomach undergoing emergency operation.Methods120 full-stomach patients undergoing general anesthesia and emergency operation during January to June 2010 were enrolled in the study group,and they were inserted the esophagus blockade tube to close their esophagus before intubation in the induction of general anesthesia.The esophagus blockade tube interconnected with the air.148 cases who have had rapid sequence induction intubated with Sellick manoeuvre during July to December 2009 were enrolled in the control group.The complications such as vomiting,regurgitation,aspiration and other side effects were observed and recorded.ResultsThere were 14 patients suffered vomiting,20 patients regurgitation,8 patients aspiration and one dead because of aspiration in the control group.Compared with the control group,2 patients vomited,and no one showed regurgitation and aspiration in the study group (P<0.05).ConclusionApplication of the Esophageal jam-drainage skill during rapid sequence induction of general anesthesia is safe and feasible in the patients with full-stomach undergoing emergency operation.It can effectly prevent regurgitat and aspirating.