摘要
目的 :观察床旁纤维支气管镜引导下经鼻气管插管在抢救困难气道急性呼吸衰竭(ARF)患者的临床效果并探讨此项操作技术的应用价值。方法 2011年06月-2016年06月在我院重症医学科困难气道ARF 196例,均床旁纤支镜引导下经鼻行困难气管插管技术抢救措施。结果本组困难气道ARF患者中共有196例行此项操作技术均获得成功,插管时间为25s/4min,一次插管成功168例。观察患者插管前及插管后30min动脉血气分析PH、PaO_2、PaCO_2、乳酸、呼吸、心率、血压、血氧饱和度等较前明显好转,P<0.05差异有统计学意义。结论床旁纤维支气管镜引导下经鼻气管插管适用于特殊体位要求插管、各种困难气道插管,是急危状态下建立人工气道的备选技术,在各级各类医院此项操作技术临床中值得推广应用。
Objective To observe the application value of bedside fibrobronchoscope through nasotracheal intubation in emergency treatment of patients with difficult airway acute respiratory failure. Methods From June 2011 to June 2016, 196 cases of acute respiratory failure in our hospital were treated with bedside bronchoscopy guided by intubation and tracheal intubation. Results In this group, 196 patients underwent bronchoscopy-guided nasotracheal intubation were successful, and the intubation time was from 25s to 4min. 168 cases were successful at the first intubation. PaO2,PaCO2,lactate, respiration, heart rate, blood pressure and blood oxygen saturation improved significantly 30min after intubation （P 〈0. 05） . Conclusion Bedside fiberoptic bronchoscope is suitable for intubation and difficult intubation in nasopharyngeal tracheal intubation. It is an alternative method to establish artificial airway in emergency, which is worthy to be clinically popularized in all kinds of hospitals.
出处
《临床肺科杂志》
2017年第7期1285-1288,共4页
Journal of Clinical Pulmonary Medicine
关键词
急性呼吸衰竭
困难气道
经鼻气管插管
纤维支气管镜
acute respiratory failure
difficult airway
transnasal intubation
fiberoptic bronchoscopy
