不同插管技术在肥胖患者中的临床应用研究进展  

Clinical application and research progress of different intubation techniques in obese patients

作　　者：刘淼 王常松[1] Liu Miao;Wang Chang-song(Department of Critical Care Medicine,Harbin Medical University Cancer Hospital,Harbin 150081,China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院重症医学科,黑龙江哈尔滨150081

出　　处：《中国急救医学》2019年第10期1011-1014,共4页Chinese Journal of Critical Care Medicine

基　　金：国家自然科学基金(81402462);黑龙江省博士后启动基金(LBH-Q17112)。

摘　　要：肥胖已成为全世界关注的健康问题,对于肥胖相关的气道解剖改变和呼吸生理改变可能会增加插管难度,选择适合的插管技术并迅速建立安全有效的气道对于肥胖患者至关重要.近年来,可视化技术和新型插管技术逐渐应用于肥胖患者.本文简述不同类型可视喉镜、纤维支气管镜、硬镜、光棒等辅助插管设备各自的特点,以及应用上述辅助插管技术和复合插管技术在肥胖患者中进行气管插管的效果.结合国内外近年研究加以综述,为肥胖患者插管技术的选择提供参考.Obesity has become a health concern all over the world.The changes of airway anatomy and respiratory physiology associated with obesity may increase the difficulty of intubation.The choice of appropriate intubation technique and the rapid establishment of safe and effective airway are essential for obese patients.In recent years,visualization technology and new intubation technology have been gradually applied to obese patients.This paper describes the characteristics of different types of direct laryngoscopes,fiberoptic bronchoscope,optical stylet and light wand,and the effects of the above-mentioned intubation techniques and combined intubation techniques on tracheal intubation in obese patients.Combined with the studies at home and abroad,this paper provides reference for the selection of intubation techniques in obese patients.

关 键 词：气管插管 直接喉镜 视频喉镜 肥胖 

分 类 号：R61[医药卫生—外科学]