纤维支气管镜引导下经鼻气管插管机械通气在危重支气管哮喘患者治疗中的作用观察  

Observation of the effect of fiberoptic bronchoscopeguided nasotracheal intubation and mechanical ventilation on the treatment of patients with critical bronchial asthma

作　　者：崔丽华[1] 

机构地区：[1]胜利油田中心医院呼吸内科,山东东营257000

出　　处：《中国现代医学杂志》2014年第5期104-106,共3页China Journal of Modern Medicine

摘　　要：目的了解气管插管机械通气在危重支气管哮喘患者治疗中的作用,为危重支气管哮喘提供有效的治疗方法。方法 95例危重支气管哮喘患者在纤维支气管镜引导下行经鼻气管插管机械通气治疗。在治疗时分别进行血气分析并比较血气指标的结果。结果 95例患者的平均机械通气时间为(49.2±3.0)h,均顺利撤机拔管,所有患者的体征、临床症状均有好转。治疗后的pH值、PaCO2、PaO2、SpO2均显著高于治疗前(均P<0.05);治疗后的PaCO2显著低于治疗前(P<0.05)。治疗中1例出现轻度高碳酸血症。结论纤维支气管镜引导下经鼻气管插管机械通气治疗是救治危重支气管哮喘的有效方法,具有较高的临床应用价值。[Objectives] To find out the effect of fiberoptic bronchoscope-guided nasotracheal intubation and mechanical ventilation on the treatment of patients with critical bronchial asthma and provide an effective treatment for critical bronchial asthma. [Methods] 95 critical bronchial asthma patients were treated with fiberoptic bronchoseope- guided nasotracheal intubation and mechanical ventilation. In the treatment, blood gas analysis was performed, and the results of blood gas were compared. [Results] 95 patients with an average duration of mechanical ventilation （49.2 ±3.0）h, were successfully withdraw breathing machine and extubated. After extubation, the signs and clinical symptoms of all patients were improved. After treatment, the pH, Pa- COz, Pa02 and Sp02 were significantly higher than before treatment （P〈0.05）; after treatment, PaC02 was sig- nificantly lower than before treatment （P〈0.05）. In therapy, one case of mild hypercapnia appeared. [ Conclu- sion] Fiberoptic bronehoscope-guided nasotracheal intubation and mechanical ventilation is an effective treat- ment for critical bronchial asthma, and has a high clinical value.

关 键 词：纤维支气管镜 经鼻气管插管 机械通气 危重支气管哮喘 

分 类 号：R562.25[医药卫生—呼吸系统]