超声在气道管理中的应用  

New progress in the application of ultrasound in the airway

作　　者：郑镇伟 马武华[2] 杜瑞明[3] Zheng Zhenwei;Ma Wuhua;Du Ruiming(First Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou 510006, China;Department of Anesthesiology, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China;Department of Anesthesiology, the Second Affiliated Hospital of Medical School of Shantou University, Shantou 515041, China)

机构地区：[1]广州中医药大学第一临床医学院,510006 [2]广州中医药大学第一附属医院麻醉科,510405 [3]汕头大学医学院第二附属医院麻醉科,515041

出　　处：《国际麻醉学与复苏杂志》2019年第7期682-687,共6页International Journal of Anesthesiology and Resuscitation

基　　金：国家自然科学基金面上项目(81673922);国家自然科学基金青年科学基金(81503663);广州市科技计划项目(201707010297).

摘　　要：超声作为重要的可视化工具,目前在气道管理多个方面的应用研究都取得了很大的进展,为临床医师进行气道综合管理提供了重要的评估和监测手段。通过总结分析超声在气道管理各个方面的应用新进展文献,简述气道相关结构的超声解剖,并介绍超声在预测困难气道、气道解剖定位、评估胃内容量、预测成功拔管、选择气管导管和气道诊断性检查等九大方面的应用新进展。目前对超声在气道管理方面的研究仍在不断探索,超声在气道管理中的应用前景广阔,未来可能成为不可或缺的气道评估工具。As an important visualization tool, ultrasound has been widely used in airway management, providing an important assessment and monitoring approach to conduct integrated airway management. By summarizing and analyzing the new progress in the application of ultrasound in all aspects of airway management, this paper briefly describes the ultrasound anatomy of airway-related structures, and introduces the new application of ultrasound in nine major areas, such as the prediction of difficult airway, positioning of airway anatomy, assessment of gastric volume, prediction of successful extubation, selection of endotracheal tubes, and airway diagnostic tests. At present, the research of ultrasound in the airway is still being explored. The application of ultrasound in airway management is very promising, which may become an indispensable airway assessment tool in the future.

关 键 词：超声 气道管理 气管插管 环甲膜切开术 胃内容量 

分 类 号：R614[医药卫生—麻醉学]