听诊引导对左双腔支气管导管插管时确定位置的作用  

Effect of Auscultation Leading on Position of Double-lumen Bronchial Tube

作　　者：韩亚升[1] 任志坚[1] 

机构地区：[1]内蒙古自治区医院麻醉科,内蒙古呼和浩特010017

出　　处：《内蒙古医学杂志》2008年第2期170-171,共2页Inner Mongolia Medical Journal

摘　　要：目的:探讨听诊引导法在双腔支气管导管插管时的价值。方法:选择开胸手术80例,ASAⅠ或Ⅱ级,随机分为两组(n=40)听诊引导法组AL和传统组T,均采用左双腔支气管导管(L-DLT)。插管完毕后用纤维支气管镜(FOB)确定位置,记录结果。结果:与传统法相比,听诊引导法明显增高导管开口位置的准确性,减少定位次数,减少导管定位时间,减轻插管时的心血管反应。结论:听诊引导法可以明显提高左双腔支气管导管插管的准确性。Objective： To evaluate the effect of auscultation on inducing double- lumen bronchial intubation. Methods： 80 cases with ASA Ⅰ of Ⅱ performing thoracic surgery were randomly divided into two groups（n = 40） ： group with auscultation leading（AL group） and traditional group（T group）. In both groups, the leftsided double lumen tube（DLT） were adjusted to the proper place , and then fiberoptic bronchoscope（FOB） conforming the precise DLT position.The results were recorded. Results： Compared with traditional methods, the auscultation leading technique can markedly improved the accurate position of DLT and lessened the number and time or cardiovascular reactions of position. Conclusion：Auscultation leading method can improve the accuracy of DLT intubation.

关 键 词：听诊引导 双腔管 气管内 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]