摘要
目的:评价GlideScope视频影像喉镜在胸部恶性肿瘤根治术患者双管腔在气管插管中的应用,观察其可操作性和临床应用的价值。方法:选择80例择期行胸部恶性肿瘤根治手术的患者,术前评估Mallampti舌咽分级。患者的体位取仰卧位,将带有隆突钩的双腔管缩型为视频镜片相一致的角度(大约60°)从口腔偏右侧进入,显示屏上可显示气管插管的全部过程。同时记录患者暴露的时间、气管插管操作时间、显示器直视下喉部暴露分级。结果:本组患者均借助喉GlideScope视频影像喉镜进行双腔管插管,喉部显露为Ⅰ～Ⅱ级,成功率为100%,2例为直接喉镜显露Ⅳ级的患者。从操作开始到满意暴露声门的时间为(24.2±10.32)s;气管插管时间(27.1±23.4)s。结论:作为一种新型气管插管工具,视频喉镜为解决临床双腔气管插管问题提供了新的思路,将有望在临床广泛应用。
Objective： To evaluate the application of the Glidescope video image laryngoscope in double-lumen endobronchial intubation during radical correction of malignant chest tumors, and to observe its manipulability and value for clinical applications. Methods： A total of 80 patients with malignant chest tumors who were to receive radical correction were chosen and the Mallampti glossopharyngeum grade was evaluated. When using the GlideScope the supine position was taken by the patients as is taken for those undergoing common-laryngoscope diagnosis. The double-lumen with swelling hook minimized the angle （about 600）, which was required by the video lens and then entered the mouth from the right side. The total course of tracheal intubation can be shown on the viewing screen. At the same time, the time for exposure of patients, the running time of tracheal intubation, and the laryngeal exposure grade under the displayer were recorded. Results： With assistance of the GlideScope video image laryngoscope, the patients received the double-lumen intubation. The laryngeal exposure was evaluated as grade Ⅰ-Ⅱ and the success rate was 100%. The patients in 2 cases were grade Ⅳ with direct laryngeal exposure. From the beginning of the procedure to satisfactory exposure of the glottis was 24.2±0.32 s and the time for intubation was 27.1±3.4 s. Conclusion： As a means of tracheal intubation, the video image laryngoscope supplies a new option for clinical double-lumen tracheal intubation, and a widespread clinical use of the technology can be expected.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2006年第14期808-810,共3页
Chinese Journal of Clinical Oncology
