摘要
【目的】比较肺部听诊法和纤维支气管镜(简称纤支镜)检查法判断双腔支气管插管位置的准确性。【方法】60例需双腔支气管插管单肺通气下行胸科手术的患者,在插管及放置手术体位后,分别以听诊法和纤支镜检查法判断双腔管的位置。【结果】插管后听诊法导管位置满意36例(60%),改变体位后12例听诊肺隔离不满意,进一步行纤支镜检查发现8例(13.3%)导管发生近端移位,发生率67%(8/12)。【结论】在双腔管插管时和放置体位后,宜常规行纤支镜检查定位。
[Objective]To compare the correction of placement of double lumen endobronchial tubes by using fibroptic bronchoscope and auscultation. [Methods]Sixty patients requiring double lumen endobronchial tubes insertion for thoracic surgery were prospectively studied. After intubation and positioning, positions of the tubes were judged by fibroptic bronchoscopy and auscultation. [Results]It was found that tubes were placed satisfactorily after intubation in 36 patients and 12 patients could not separate the lung after positioning by auscultation. Proximal malpositions were found by fibroptic bronchoscope in eight of the twelve patients （67 %）. [Conclusion]It is necessary to check or replace the double lumen endobronchial tubes by using fibroptic bronchoscope routinely after blind intubation and positioning.
出处
《医学临床研究》
CAS
2005年第11期1543-1545,共3页
Journal of Clinical Research
