纤支镜在外科手术全麻时困难气管插管的应用探讨

发布时间：2018-04-09 19:14

本文选题：纤支镜　切入点：外科手术　出处：《临床医药文献电子杂志》2016年41期

【摘要】：目的探究纤支镜在外科手术全麻时困难气管插管的临床应用价值。方法选取我院2014年6月~2016年5月收治的气管插管困难患者80例为研究对象,对患者手术全麻施以纤支镜经鼻气管插管,并且对患者应用少量镇定药物,待纤支镜到达气管之后,应当适当调节长度,然后固定气管。结果所有患者在外科手术全麻时应用纤支镜全部成功,平均时间(4.0±0.8)min,患者均未出现出血等相关并发症,血氧饱和度在95%以上。结论纤支镜在外科手术全麻时困难气管插管效果极为显著,不仅视野清晰,而且操作起来比较方便,对患者自身损伤度较小,建议在临床中推广应用。
[Abstract]:Objective to explore the clinical value of fiberoptic bronchoscopy in difficult tracheal intubation during general anesthesia.Methods from June 2014 to May 2016, 80 patients with tracheal intubation difficulties were selected as the study subjects. The patients were treated with fiberoptic bronchoscope through nasal tracheal intubation under general anesthesia, and a small amount of tranquilizing drugs were applied to the patients after the fiberoptic bronchoscopy reached the trachea.The length should be adjusted properly before the trachea is fixed.Results all the patients were successfully treated with fiberoptic bronchoscopy during general anesthesia. The mean time was 4.0 卤0.8 min. No complications such as bleeding were found in all patients. The blood oxygen saturation was more than 95%.Conclusion Fiberoptic bronchoscopy is very effective in difficult tracheal intubation during general anesthesia. It is not only clear in visual field, but also easy to operate, and has less injury to patients themselves. It is suggested that it should be popularized and applied in clinical practice.
【作者单位】：黄河三门峡医院麻醉科;
【分类号】：R614.2

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