盲探氣管插管裝置應(yīng)用于困難氣管插管的臨床觀察

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1、盲探氣管插管裝置應(yīng)用于困難氣管插管的臨床觀察【關(guān)鍵詞】盲探【摘耍】H的觀察盲探氣管插管裝置在困難氣管插管中的臨床應(yīng)川。方法本研究共117例患者，年齡22?87歲，包括ASAI?II級(jí)施擇期手術(shù)全麻患者61例;頭后仰活動(dòng)受限5例漲口受限8例;巨舌2例;Pier&Robin's4例;喉結(jié)過(guò)高13例;肥胖且頸粗短15例;飽胃14例;非手術(shù)緊急氣管插管的患者56例，困難氣管插管的主要原兇為口腔分泌物多、出血;吞咽反射強(qiáng)烈;外傷致患者張口受限;外傷致患者頸椎骨折、脫臼等。結(jié)果木組患者的氣管插管成功率為100%,其中113例一次插管成功，成功率96.6%,4例二次插管成功，成功率3.4%。氣管插

2、管的操作時(shí)間為3?35min,平均5.2min。其中氣管插管時(shí)間<5min者有39例(33.3%),5?］Omin者有54例(46.2%),>10min者有24例(20.5%)。結(jié)論盲探氣管插管裝置具有簡(jiǎn)便、實(shí)用、易掌握、成功率高、損傷小、價(jià)格低廉等優(yōu)點(diǎn)，這項(xiàng)新技術(shù)是處理臨床閑難氣管插管的較好方法。vPstyle=HTEXT-INDENT:24px”>關(guān)鍵詞困難氣管插管盲探氣管插管裝置臨床應(yīng)JUTheclinicaluseoftheblindtracheaintubation

3、DENT:24px"align=centei>instrument(BTII)inthepatientswithdifficultintubationsDuanHongwei,LuCheng,ZhuYesen,etal.DepaitmentofAnesthesiology,TheCentralHospital,NanHui,Shanghai201300.【Abstract】Ob

4、jectiveToobservetheclinicaluseoftheblindtracheaintubationinstrument(BTII)inthepatientswithdifficultintubations.Methods117patients,aged22?87years,wereconsistedof61patientsgivingageneralanesthesiainselectiveoperationinASAclassI?II,among61patientswerethelimitationofneckextension(n=5)ormouthopening

5、(n=8);thebigtongue(n=2);Pierre-Robin'ssequence(n=4);thehigherlaryngealprominence(n=13);theobesecombiningshorterneck(n=15)andthefullstomach(n=14),56patientsweregivenintubationsinnon-operationinemergency,thereasonsofdifficultintubationshadalotofexcretionandhemorrhageinoralcavity,aferventswallowre

6、flex,thelimitationofmouthopeningbytrauma,cervicalvertebraefractureanddislo-cationbytrauma,andsoon.ResultsTheincidenceofsuccessfulwas100%among117patients,1Beases(96.6%)weresuccessfulintubationsinfirstand4cases(3.4%)insecond.Theintubationtimewas3?35min,andameantimeof5.2min.Ofallthepatients,thedur

7、ationofintubationmanipulationwasless5minin39cases(33.3%),5?lOminin54cases(46.2%),andmorethan1Ominin24cases(20.5%),respectively.ConclusionBTIIwasasimple,practical,user-friendly,safe,lowerprice,andeffectivemethodindisposalofdifficul