纤维支气管镜引导下经鼻气管插管在呼吸道危重症的急救应用分析  

Clinical application of nasal trachea cannula guided by bronchofibroscope to respiratory critically ill patient

作　　者：贺学强[1] 林鸿[1] 黎光强[1] 阳光辉[1] 谭发展[1] 

机构地区：[1]中国人民解放军第181中心医院,广西桂林541002

出　　处：《临床肺科杂志》2011年第1期8-9,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨纤维支气管镜(以下简称纤支镜)引导下经鼻气管插管建立人工气道在呼吸道危重症抢救治疗中的临床意义和价值。方法在心电和血氧饱和度监护下,对38例呼吸道急重症患者行纤支镜引导下气管插管。结果 38例中,其中12例急性上呼吸道梗阻,26例重症肺部感染因痰栓阻塞气道致呼吸衰竭。全部病例均行纤支镜引导下经鼻气管插管,有效建立了人工气道,缺氧等症状均有明显缓解,胸片示病灶吸收好转。结论纤支镜引导下经鼻气管插管在呼吸道阻塞的危急重症患者救治中有着重要价值。Objective To investigate the clinical efficiency and safety of nasal trachea cannula guided by bronchofibroscope in treating critically ill patient.Methods In the ECG and oxygen saturation custody,38 cases of patients with severe acute respiratory nasal trachea cannula under the guidance of bronchoscopy.Results 38 cases of cases,one of 12 cases of acute upper respiratory tract obstruction,26 cases of various types of severe lung infection due to obstructive airway sputum bolt.All patients underwent bronchoscopy-guided nasal intubation,38 cases were all successful intubation,the effective establishment of the artificial airway,by fiberbronchoscope deep suction and lavage after dyspnea,hypoxia and other symptoms are there is evidently relieved,the blood pressure increased,chest lesions showed marked improvement in the absorption.Conclusions nasal trachea cannula guided by Bronchoscopy in severe respiratory tract obstruction in patients with critical medical treatment and had important clinical value.

关 键 词：纤维支气管镜 经鼻气管插管 呼吸道 危重症 

分 类 号：R459.7[医药卫生—急诊医学]