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作 者:钟声宏[1] 张玉平[1] 李宏[1] 郭志娟[1] 赵小平[1] 毛振北
机构地区:[1]江西省九江市第一人民医院麻醉科,江西九江332000
出 处:《中国现代医生》2013年第30期58-59,共2页China Modern Doctor
摘 要:目的介绍TESL-2000视频喉镜在困难气道中的应用,探讨其临床应用价值。方法选取术前评估符合困难气道标准的患者80例,随机分为视频喉镜插管(A组)和普通喉镜插管(B组),每组40例。记录两组暴露声门程度、气管插管时间、插管成功率及插管并发症。结果 A组喉部显露分级Ⅰ级33例,Ⅱ级8例;B组喉部显露分级Ⅱ级5例,Ⅲ级29例,Ⅳ级6例。与B组比较,A组插管时间减少(P<0.05)、插管成功率增高(P<0.05),插管并发症减少。结论 TESL-2000视频喉镜应用于困难气道会降低插管难度、缩短插管时间、提高插管成功率、减少插管并发症。Objective To introduce the application of TESL-2000 video laryngoscope in difficult airway, and to probe its clinical value. Methods Patients with difficult airways were randomly divided into two groups (n = 40), including intubation with video laryngoscopy (A group) and intubation with ordinary laryngoscopy (B group). We observe the time of intubation, success rate and complications. Results The degree of glottis exposure belongs to grade I was 33 cases, grade Ⅱ was 8 cases in A group ; the degree of glottis exposure belongs to grade Ⅱwas 5 cases, grade Ⅲ was 29 cases, gradeⅣ 6 cases in B group. Compared with B group, intubation time of A group was reduced (P 〈 0.05), success rate increased (P 〈 0.05), complications reduced. Conclusion TESL-2000 video laryngoscope used in difficult air- way will reduce intubation difficulty, shorten time, improve success rate and reduce complications.
关 键 词:TESL-2000视频喉镜 困难气道 插管法 气管内
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