摘要
目的探讨纤维支气管镜在危重患者气道管理中的作用。方法总结纤维支气管镜对62例危重患者进行气道管理中的清理作用及引导经鼻气管插管、经皮扩张气管切开,治疗咯血等临床经验,比较操作前后半小时的动脉血气分析。结果 62例患者,其中有肺部感染38例,经纤维支气管镜治疗后感染均得到良好控制,其中35例痊愈或好转出院;肺不张12例,其中7例行纤维支气管镜1次肺复张;引导经鼻气管插管、经皮扩张气管切开10例均1次成功;支气管扩张大咯血2例均有效止血。操作后的动脉血气分析比操作前明显改善(P<0.01)。结论纤维支气管镜对危重患者的气道管理具有重要意义,既可用于气道内痰液、血液的清理、诊治肺不张,又可协助经鼻气管插管、经皮扩张气管切开,是危重病医学科必备的技术操作。
Objective To explore the airway management funciton of fiberoptic bronchoscope in severe patients.Methods The cleaning effect of fiberoptic bronchoscope in 62 critically ill cases and the clinical experience of treating haemoptysis by guiding the nasal intubation and percutaneous dilation tracheostomy（PDT） were summarized.Results 38 cases got their infection well controlled by fiberoptic bronchoscope,and 35 cases were cured or discharged for good curative effects.7 cases of atelectasis got dilation.10 cases recovered by using fiberoptic bronchoscope and 2 cases of empsyxis got bronchiectasis to stop bleeding.The arterial blood gas was improved after operation（P 0.01）.Conclusion Fiberoptic bronchoscope has important impact on the airway management functions of critically ill patients,can be used to clean up sputum and blood in windpipe,and contributes to the nasal intubation and PDT.
出处
《山东医学高等专科学校学报》
2011年第4期258-260,共3页
Journal of Shandong Medical College
关键词
纤维支气管镜
气道管理
肺部感染
Fiberoptic bronchoscopy
Airway management
Lung infection
