光棒在引导困难气管插管中的应用  

Evalution Hof Flexible Lightwand-guided Tracheal Intubation in Patients with Anticipated Difficult Airway

作　　者：陶明哲[1] 李少君[1] 白智萍[1] 任永功[1] 黄小朋[1] 张中军[1] 

机构地区：[1]深圳市人民医院麻醉科,广东深圳518020

出　　处：《中国误诊学杂志》2004年第2期187-188,共2页Chinese Journal of Misdiagnostics

摘　　要：目的 :探讨光棒用于困难气道气管插管的临床意义。方法 :插管困难患者 32例 ,利用气管内光技术 ,将套有气管导管的引导光棒经口咽探寻进入声门到达气管内 ,再推送导管完成气管内插管。光棒进入声门的标志是环甲膜处见清晰的光亮点。结果 :32例中有 2 9例 (90 .6 % )插管成功 ,完成气管插管时间为 (176± 118) s,插管时患者呛咳发生率较高 (5 6 % ) ,其它并发症不明显。结论 :光棒引导困难气管插管简单、实用、有效。Objective:To study the effect of lightwand-guided tracheal intubation in the patients with difficult airway.Methods:In thirty-two patients with anticipated difficult airway, using the Trachlight, we would intubated tracheal tube containing flexible lightwand via glottis to trachea. The sign that the lightwand had entered glottis was a clear shiny point in the cricothyroid membrane. Results:The intubation succeded in 29 of 32 patients. The time for the intubation was (176±118) seconds. The incidence of cough was 56% in intubation, and the other complications did not occur.Conclusion:The flexible lightwand-guided tracheal intubation is available for the patients with a difficult airway.

关 键 词：插管法 气管内/方法 麻醉 气管内 

分 类 号：R614.21[医药卫生—麻醉学]