摘要
目的分析评价纤维支气管镜与直接喉镜联合在困难气管插管中的方法和临床价值。方法8例气管插管困难患者,直接喉镜插管及纤维支气管镜引导气管插管失败,则采用纤支镜与直接喉镜联合插管。结果8例患者纤维支气管镜与直接喉镜联合气管插管均获得成功。7例在1～10min内完成,1例在15min内完成。结论纤支镜与直接喉镜联合气管插管分别采用了两者的优点,克服了纤支镜需要空间才能行进和直接喉镜显露声门困难的缺点,在操作中,麻醉师与纤支镜操作者之间的密切配合是插管成功的关键,要由有经验的医师完成。
[Objective] To analyse the method and clinical value of bronchofibroscopy combining direst laryngoscope intubation in the difficult airway. [Methods] Eight difficult airway patients had been intubated leading by bronchofibroscope combining direst laryngoscope intubation after failed in using bronchofibroscope intubate and direst laryngoscope intubation. [Results] Eight patients had been intubated leading by bronchofibroscope combining direst laryngoscope all succeeded. 7 cases ware finished within 1-10 minutes, 1 case was finished within 15 minutes. [Conclusion] Bronchofibroscope combining direst laryngoscope intubation adopt advantages of the two and overcome the shortcomingings that bronchofibroscope need space going and that direst laryngoscope appear glottis difficultly. In the operating anaesthetist and bronchofibroscope operator act in close coordination are the key that an intubation succeed or not. It must be finished by experienced doctor and anaesthetist. It is the best choice that bronchofibroscope combining direst laryngoscope intubation after failed in using bronchofibroscope intubate and direst laryngoscope intubation.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第3期305-306,共2页
China Journal of Endoscopy
