摘要
目的:探讨开颅术后早期并发肺不张的重型颅脑外伤和脑出血患者在机械通气下由气管导管外插入纤维支气管镜(纤支镜)进行检查及予以生理盐水冲洗和吸引的安全性和有效性。方法:35例重型颅脑外伤和脑出血开颅术后早期并发肺不张的患者,在气管插管和机械通气下,从气管导管外插入纤支镜进行检查,并且予以生理盐水冲洗和吸引治疗,术中严密观察患者主要生命体征,术中术后有关指标与术前进行对照分析。结果:共作纤支镜诊治50例次,均顺利完成且肺不张消失,术中术后生命体征稳定,多数指标无明显变化(P>0.05),术后部分指标(血气)较术前改善(P<0.05)。结论:机械通气下由气管导管外插入纤支镜对开颅术后早期并发肺不张的重症患者进行检查和治疗,安全有效。
Objective：To investigate the safety and efficacy of examining and treating early atelectasis after craniotomy with bronchofibroscope under ventilatic protection in patients suffering from severe head injury and stroke.Methods：35 patients suffering from severe head injury and stroke with ealy atelectasis after craniotomy were ckecked and treated with bronchofibroscope through extratracheal intubation under the protection of mechanical ventilation.The primary vital signs such as hreat rate（HR）,respiratory rate（RR）,blood pressure（BP）,blood oxygenous saturation（SpO2） and so on were monitoring closely whole range.Those data of during and after operation with those of befor operation were compared.Results：50 operations were finished smoothly without any intercurrent events and all atelectasis disappeared.The signs of during and after operation were stabl and hadn＇t obvious changes compared with those of before operation（P0.05）,the results of blood gas analysis of after operation were better than those of before operation（P0.05）.Conclusion：Examining and treating early atelectasis after craniotomy were safe and effective with bronchofibroscope through extratracheal intubation in patients suffering from severe head injury and stroke suppored by mechanical ventilation.
出处
《南通大学学报（医学版）》
2012年第3期199-201,共3页
Journal of Nantong University(Medical sciences)
基金
南通市社会发展(指导性)科技计划资助项目(S10909)
关键词
开颅术
肺不张
纤支镜
安全性
craniotomy
atelectasis
bronchofibroscope
safety
