摘要
目的:探讨纤支镜引导下经鼻气管插管在困难气道管理中的临床应用价值。方法:采用纤支镜对125例ICU及手术室存在困难气道患者行纤支镜引导下经鼻气管插管,观察气管插管效能、耐受性、生命体征变化及并发症,并总结插管经验。结果:124例患者插管成功,95%的患者在3min内完成气管插管,90%的患者耐受性好,大多数患者插管过程中心率和血压有一过性升高;1例患者出现喉头水肿而改气管切开,23例患者在插管过程中存在气道出血,经局部压迫及药物止血后出血停止,10例患者插管后出现鼻窦炎,改其他途径的人工气道和抗生素治疗后痊愈。结论:纤支镜引导下经鼻气管插管对困难气道管理成功率高、耐受性和安全性好。
Objective： To investigate the clinical application value of the bronchofiberscope guided transnasal tracheal intubation in difficult airway management. Methods： To treat 125 patients who have difficult air-way management in ICU and operation with fiberoptic bronchoscope guided intubation through nasal tracheal. The efficacy of intubation, tolerability, changes of vital signs and complications were observed and intubation management expertise was summarized. Results： A total of 124 cases of intubation succeeded, 95; of tracheal intubation was completed in 3 minutes. Intubation was well tolerated by 90% of the pa- tients, although most patients have a transient increase of heart rate and blood pressure during intubation; 1 patient had trachea incision because of laryngeal edema. Twenty-three patients had airway bleeding dur- ing the intubation process, bleeding ceased after local oppression and drug hemostasis. Ten patients ap- peared sinusitis after intubation, recovered after administration with other artificial airway and antibiotic treatment. Conclusion： To administer difficult airway management with transnasal figeroptic endotracheal intubation has high success rate, well tolerability and favorable safety.
出处
《广西医科大学学报》
CAS
2012年第6期860-862,共3页
Journal of Guangxi Medical University
基金
国家临床重点专科建设项目(No.2011-873)
关键词
纤维支气管镜
经鼻气管插管
困难气道管理
fiberoptic bronchoscopy
nasotracheal intubation
difficult airway management
