摘要
目的:探讨视可尼喉镜"光斑法"气管插管的效果。方法:视可尼喉镜"光斑法"经口、鼻气管插管患者113例。结果:经口气管内插管82例,一次性成功76例,一次性成功率为92.7%,两次及以上尝试成功5例,累计成功率为98.8%,其中,经目镜窥见会厌或声门8例,约占9.8%,托下颌后,经目镜窥见会厌或声门23例,约占28.0%。困难气道改视可尼喉镜"光点法"经口插管23例,两次及以上尝试成功20例,成功率为86.9%,其中,经目镜窥见会厌2例,占8.7%。视可尼喉镜经鼻气管内插管8例,成功4例,成功率为50%,经目镜未窥见会厌。所有病例未见严重并发症。结论:视可尼喉镜"光斑法"插管操作简单,创伤小,效果良好,是解决困难气道的重要手段之一。
Objective ：To investigate the effect of endotracheal intubation using Shikani laryngoscope with ＂spot method＂. Methods ： One hundred and thirteen patients were intubated by Shikani laryngoscope with ＂spot method＂ through the mouth and nose. Results： Eighty-two patients were intubated successfully once, the success rate was 92.7% , and eighty-one were twice or more, the total suc- cess rate was 98.8% , among which, eight cases or about 9.8% were confirmed by seeing the epiglottis or glottis; and 23 cases, about 28.0 % were seen the epiglottis or glottis after a jaw thrust maneuver. Twenty-three patients which had difficult airway confirmed by la- ryngoscopy, of which, twenty patients were intubated orally by Shikani laryngoscope using ＂ spot method＂ with two or more attempts, and the success rate was 86.9% , among which, two cases where the epiglottis or glottis was seen by eyepiece, accounting for 8.7%. Eight patients had nasal tracheal intubation, and four cases were successful, the success rate was 50% , and the epiglottis was invisi- ble. No one had serious complications. Conclusion： The Shikani laryngoscope with ＂spot method＂ is simple, mini -invasive, and ef- fective. I It is one of the important means to solve difficult airway obstruction.
出处
《川北医学院学报》
CAS
2013年第1期52-54,共3页
Journal of North Sichuan Medical College
基金
川北医学院苗圃基金(MP-ZK-47)
关键词
视可尼喉镜
光斑法
气管内插管
Shikani laryngoscope
Spot method
Endotracheal intubation
