光导纤维喉镜用于气管插管时循环系统的变化  

Circulatory Changes during Fibreoptic Tracheal Intubation

作　　者：彭志勇[1] 曾邦雄[1] 李士通[1] 张汉生[1] 

机构地区：[1]同济医科大学附属协和医院,武汉市邮政编码430022

出　　处：《临床麻醉学杂志》1996年第2期71-73,共3页Journal of Clinical Anesthesiology

摘　　要：30例外科手术病人,分为三组。Ⅰ组为普通喉镜顺利气管插管,Ⅱ组为光导纤维喉镜顺利插管组,Ⅲ组为光导纤维喉镜困难插管组。结果表明:三组病人插管时均可引起剧烈的心血管反应,但变化幅度以Ⅲ组最大。本文提示,与普通喉镜相比,光导纤维喉镜用于并无困难插管的病人引起的心血管反应相似,而用于困难插管的病人也可产生严重的心血管反应,可能与插管困难的病人暴露困难致使插管时间较长或刺激强度增大有关。There was a controversy about the differences of cardiovascular side effects induced by conventional laryn-goscopy (CD and fibreoptic laryngoscopy (FL). Thirty surgical patients were allocated to three groups. Group I , undifficult intubation by preoperative assessment, was intubated using CL. Group I , undifficult intubation cases. and group I . difficult intubation cases were intubated using FL. Cardiovascular systems were monitored in all patients. The results show that all groups produced strong cardiovascular responces to tracheal intubation, especially group II. Our study indicates that FL could produce the same cardiovascular effects as the CL in undifficult intubation cases. The stronger circulatory changes induced by FL in difficult intubation patients may be related to the prolonged intubation procedure.

关 键 词：光导纤维喉镜 气管插管 循环系统 

分 类 号：R605.973[医药卫生—急诊医学]