摘要
目的:探讨床边便携式纤支镜(简称纤支镜)引导经鼻气管插管抢救COPD合并呼吸衰竭的临床应用价值。方法:COPD合并呼吸衰竭患者分别采用经口气管插管和便携式纤支镜引导经鼻气管插管并进行机械通气,总结分析其临床资料。结果:便携式纤支镜引导经鼻气管插管49例,成功48例,经口气管插管26例,成功22例。结论:便携式纤支镜引导经鼻气管插管迅速准确、携带方便、操作时间短,患者痛苦小易耐受,成功率高,并发症少,值得临床推广应用。
Objective：To explore clinicalvalueofendotrachealintubationthrough thenoseundertheguidanceofportablefibrobronchoscopein patientswith COPD combined respiratory failure.Methods：The patients with COPD combined respiratory failure received endotracheal intubation through the nose under the guidance of portable fibrobronchoscope and through the oral under direct vision,respectively.All patients received mechanical ventilation after endotracheal intubation.The clinical date was analyzed.Results：49 cases received endotracheal intubation through the nose under the guidance of portable fibrobronchoscope,48 cases were successful.26 cases received endotracheal intubation through oral under under direct vision,22 cases were successful.Conclusion：Endotracheal intubation through the nose under the guidance of portable fibrobronchoscope is swift,accurate,short time operation,high success rate,few combination.Patients were tolerated well.It is a worthy popularizing technique.
出处
《医学信息（中旬刊）》
2010年第8期2036-2037,共2页
Medical Information Operations Sciences Fascicule
关键词
便携式纤支镜
气管插管
COPD
Portable fibrobronchoscope
Endotracheal intubation
COPD
