摘要
目的探讨纤维支气管镜引导下经鼻气管插管治疗慢性阻塞性肺疾病并呼吸衰竭的效果及安全性。方法慢性阻塞性肺疾病并呼吸衰竭患者分别采用经口气管插管和纤维支气管镜引导下经鼻气管插管建立人工气道,机械通气。结果纤维支气管镜引导下经鼻气管插管治疗33例,成功27例,经口气管插管15例,成功10例。结论纤维支气管镜引导下经鼻气管插管治疗慢性阻塞性肺疾病并呼吸衰竭抢救率成功率高,并发症轻,具有重要的临床应用价值。
[Objective] To investigate the clinical efficiency and safety of nasal trachea cannula guided by bronchofibroscope in treating COPD （chronic obstructive pulmonary disease） patients with respiratory failure. [Methods] Artificial airway was constructed for mechanical ventilation by bronchofibroscope-guided oral trachea cannula （15 cases） or nasal trachea cannula （33 cases） in COPD patients with respiratory failure. [Results] Bronchofibroscope-guided nasal trachea cannula treatment was successful in 27 of the 33 cases, oral trachea cannula treatment was successful in 10 of the 15 cases. The difference in the two groups was significant. [Conclusions] The artificial airway of nasal trachea cannula guided by bronchofibroscope can improve the achievement ratio of treating COPD patients with respiratory failure with slight complications. So the nasal trachea cannula guided by bronchofibroscope is of great value in treating COPD patients with respiratory failure.
出处
《中国内镜杂志》
CSCD
北大核心
2008年第2期119-120,124,共3页
China Journal of Endoscopy
关键词
纤维支气管镜
经鼻气管插管
慢性阻塞性肺疾病
呼吸衰竭
bronchofibroscope
nasal trachea cannula
chronic obstructive pulmonary disease （COPD）
respiratory failure
