McCoy喉镜在困难气管插管中的应用  

Application of McCoy laryngoscope in tracheal intubation

作　　者：赵玉仙[1] 

机构地区：[1]苏州市立医院东区麻醉科,江苏苏州215001

出　　处：《海南医学院学报》2010年第5期636-637,共2页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020100178)~~

摘　　要：目的:探讨McCoy喉镜在困难气管插管中的作用。方法:40例估计气管插管困难的患者,行全麻诱导后用普通喉镜暴露咽喉,当用普通喉镜气管插管3次仍不成功时,再用McCoy喉镜暴露咽喉,分别观察McCoy喉镜的镜片顶端小片在平位和立位时咽喉的显露情况。结果:采用McCoy喉镜在其镜片顶端由平位变为立位时,声门1级显露由0%提高到10%;2级显露由5%提高到70%;3级显露由80%降低到17.5%;4级显露由15%降低到2.5%。结论:使用McCoy喉镜大大降低了困难气管插管的发生率,同时减少了气管插管的损伤反应,可以作为处理困难气管插管的措施之一。Objective： To explore the application of McCoy laryngoscope in tracheal intubation.Methods： Selected 40 cases with difficulty in tracheal intubation,after general anaesthesia made throat exposed with common laryngoscope.When the common method failed for three times,applied McCoy laryngoscope.Observed the exposure of top mirror in horizon and standing position.Results： The visualization of glottis at 1st grade was increased from 0% to 10%,the 2nd grade visualization was from 5% to 70%,while the 3rd grade was decreased from 80% to 17.5%,and the 4th grade from 15% to 2.5%.Conclusion： McCoy laryngoscope can decrease the incidence of tracheal intubation failure and injury reaction.

关 键 词：气管插管 咽喉 喉镜 

分 类 号：R614[医药卫生—麻醉学]