用 CT 个体化确定双腔支气管插管型号的临床研究  

Clinical Study on Type of DLT Selected by Measurement of Bronchial Diameter on CT

作　　者：修培宏[1] 

机构地区：[1]山东省聊城市人民医院麻醉科,聊城252000

出　　处：《中国临床医学》2005年第5期925-926,共2页Chinese Journal of Clinical Medicine

摘　　要：目的：探讨用 CT 片测量支气管起始部内径选择 Robertshaw 双腔支气管导管(Double-Lumen endobronchial Tube，DLT)型号 的有效性和安全性。方法：选取胸外科患者100例随机分成两组，对照组(A 组)：根据身高经验选择，观察组(B 组)根据 CT 片上支气 管分叉处直径选择与支气管直径寸相同或稍小的双腔导管，用光纤支气管镜观察导管位置。结果：A 组导管临床定位满意率只有 90%，镜下检查导管位置正确率仅有86%；B 组临床满意率100%，镜下位置满意率98%，差异极显著(P＜0． 01) 。结论：测量支气管分 叉处直径，选择适宜型号的双腔导管，能达到双肺安全有效的隔离，减少并发症。Objective： To explore the effectiveness and safety of type of Robertshaw DLT established by measurement of bronchial diameter on CT. Methods： 100 patients who need bronchial intubation of DLT for intmthoracic operation were divided into two groups. Group A, DLT type was selected by measurement of bronchial diameter on CT; Group B, DLT type was selected by measurement of body height of patient. Position of DLT was confirmed with flexible fibroptic bronchoscope（FOB）. Results： The one time insertion success rate of B group was 100%. The correct position of DLT was conformed by FOB on the 98% cases. But they was 90% and 86% respectively in Group A. Conclusion： Type of DLT estselected by measurement of bronchial diameter on CT was effective and safe.

关 键 词：支气管插管 双腔导管 计算机辅助断层 

分 类 号：R614.21[医药卫生—麻醉学]