盲探气管插管装置应用于困难气管插管的临床观察.doc

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1、盲探气管插管装置应用于困难气管插管的临床观察【关键词】盲探【摘耍】目的观察盲探气管插管装置在困难气管插管中的临床应用。方法本研究共117例患者，年龄22〜87岁，包括ASAI〜II级施择期手术全麻患者61例;头后仰活动受限5例涨口受限8例;巨舌2例;Pierre-Robin's4例;喉结过高13例;肥胖且颈粗短15例;饱胃14例;非手术紧急气管插管的患者56例，困难气管插管的主要原因为口腔分泌物多、出血;吞咽反対强烈;外伤致患者张口受限;外伤致患者颈椎骨折、脱臼等。结果本组患者的气管插管成功率为100%,其屮113例一次插管成功，成功率96.6%,4

2、例二次插管成功，成功率3.4%。气管插管的操作时间为3〜35min,平均5.2miiio其中气管插管时间<5min者有39例(33.3%),5〜lOmin者有54例(46.2%),>10min者有24例(20.5%)。结论盲探气管插管装置具有简便、实用、易掌握、成功率高、损伤小、价格低廉等优点，这项新技术是处理临床困难气管插管的较好方法。关键词困难气管插管有探气管插管装置临床应用vPstyle=nTEXT-INDENT:24px”align=centet>Theclinicaluseofthebl

3、indtracheaintubationinstrument(BTII)inthepatientswithdifficultintubationsDuanHongwei,LuCheng,ZhuYesen,etal.DepiirtmentofAnesthesiology，TheCentralHospital,NanHui,

4、Shanghai201300.

5、〜II,among61patientswerethelimitationofneckextension(n=5)ormouthopening(n=8);thebigtongue(n=2);Pierre-Robin9ssequence(n=4);thehigherlaryngealprominence(n=13);theobesecombiningshorterneck(n=15)andthefullstomach(n=14)・56patientsweregivenintubationsinnoil-operationinemergency,there

6、asonsofdifficultintubationshadalotofexcretionandhemorrhageinoralcavity,aferventswallowreflex,thelimitationofmouthopeningbytrauma,cervicalvertebraefractureanddislo~cationbytrauma,andsoon.ResultsTheincidenceofsuccessfulvasl00%amongl17patients,1Beases(96.6%)weresuccessfulintubati

7、onsinfirstand4cases(3.4%)insecond.Theintubationtimewas3〜35min,andameantimeof5.2min.Ofallthepatients,thedurationofintubationmanipulationwasless5minin39cases(33.3%),5〜lOminin54cases(46.2%),andmorethanlOminin24cases(20.5%),respectively.ConclusionBT11wasasimple,practical,user-frien

8、dly,safe,lowerprice,andeffectivemethodindisposalofdiff