上腹触诊法和听诊法在判断气管插管位置中的比较  

Comparison of Epigastrium Palpation and Epigastrium Auscultation for Detecting the Location of Tracheal Catheter

作　　者：顾凌[1] 刘文威[1] 梁卫东[1] 施建曦[1] 

机构地区：[1]福建医科大学附属闽东医院急诊科,355000

出　　处：《岭南急诊医学杂志》2012年第6期429-430,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨上腹触诊法在判断气管插管位置中的价值。方法:选择紧急插管时声门暴露困难患者38例,分别用上腹触诊法和上腹听诊法确认气管导管位置。结果:38例患者中,采用上腹触诊法正确率为94.7%,上腹听诊法正确率为97.4%;二者在判断气管导管位置方面有较满意的一致性,kappa值>0.75。结论:上腹触诊法判断气管导管位置简便,快捷,是临床体检确认方法的一个重要补充。Objective： To explore the value of epigastrium palpation detecting the location of tracheal catheter. Methods： 38 patients with difficult glottic exposure view, the location of tracheal catheter was detected by epigastrium palpation and epigastrium auscultation. Results： In the 38 cases, the positive rate of epigastrium palpation was 94.7% and epigastrium auscultation was 97.4%. Epigastrium palpation had a good correspondence with epigastrium auscultation in detecting the location of tracheal catheter, Kappa value 〉 0.75. Conclusion： It suggests that epigastrium palpation is a simple and efficient method in detecting the location of tracheal catheter.

关 键 词：上腹 触诊 听诊 气管内插管 检测 

分 类 号：R614[医药卫生—麻醉学]