摘要
目的应用细光纤维支气管镜观察双腔管在气管内位置状况。方法观察90例双腔气管插管,分为插管成功和需调整两个标准。插管成功51例,需调整39例,对发生原因进行了解。结果需调整病例占插管总数的43.0%,最常见为导管过深或过浅,占需调整总数69.2%,其次为套囊充气不足占17.9%,方向错位7.7%,导管过细5.1%。以上发现的状况均在纤支镜明视下调整成功。结论细光学纤维支气管镜对双腔气管插管准确定位有很大的帮助。
Objective: Flexible fibiroptic bronchoscope was used to observe the position of double channels endotracheal tube. Methods: Ninty patients needing double channels endotracheal intubation were divided into two groups, successful and adjusted intuloation. The first were 51, the second were 39. And the cause was investigated. Results: Adjusted patients made up 43% of the total. Deeper and shallower positions accounted for 69.2%. Less inflated cuff was 17.9%, false direction was 7.7%. and thinner tube was 5.1%. Above condition was successfully adjusted under fiberoptic branchoscope. Conclusion: Flexible fiberoptic branchoscope is helpful to exact orientation of double channels endotracheal intubation.
出处
《中国内镜杂志》
CSCD
2004年第9期86-87,共2页
China Journal of Endoscopy
关键词
纤维支气管镜
气管插管
双腔管
fiberoptic bronchscope
tracheal intubation
double channels endotracheal tube
