一例困难气道尘肺病患者经喉罩肺灌洗治疗体会  

A case report of lung lavage via laryngeal mask of pneumoconiosis patient with difficult airway

作　　者：李冬红 陈志军 刘健 张健杰 

机构地区：[1]深圳市职业病防治院职业病科,广东深圳518001

出　　处：《职业卫生与应急救援》2015年第1期36-38,共3页Occupational Health and Emergency Rescue

基　　金：国家职业病临床重点专科建设项目(编号:WY2011873);2014年深圳市卫生计生委立项课题(编号:201402102)

摘　　要：目的探讨经喉罩肺灌洗在有困难气道的尘肺病患者中的应用。方法对1例年龄55岁的经历大容量肺灌洗术气管插管失败的患者采用三通喉罩通气全身麻醉下肺泡灌洗术。结果在全身麻醉及肌肉松弛剂的作用下,插管过程顺利,喉罩一次置管成功,右侧肺灌洗入量2 000 m L,出量1 560 m L,灌洗入量的容量接近于大容量肺灌洗术的容量,患者无痛苦回忆。结论经喉罩肺灌洗术可用于有困难气道的尘肺病患者,它能避开困难气道和鼻息肉等条件的限制,具有安全、可靠、效果满意等优点,值得在有困难气道的尘肺病患者中推广。Objective To report the application of laryngeal mask in lung lavage of pneumoconiosis patient with difficult airway.Methods After unsuccessful intubation,a 55 years old pneumoconiosis patient was performed lung lavage under general anesthesia with tee valves laryngeal mask airway,which could avoid the limitation of difficult airway and nasal polyps. Results With the use of muscle relaxant during general anesthesia,the intubation process was fluent,the volume entering the right lung was 2 000 m L,and the wash-out volume was 1 560 m L,both were close to that in large volume whole lung lavage,and the patient had no memory for pain. Conclusion The application of tee valves laryngeal mask airway in lung lavage of pneumoconiosis patient with difficult air way obtained satisfactory clinical outcome. It was safe and reliable,so it deserved to be promoted to treat pneumoconiosis patient with difficult airway.

关 键 词：尘肺病 肺灌洗 三通喉罩 困难气道 鼻息肉 

分 类 号：R135.2[医药卫生—劳动卫生]