纤支镜气管插管在困难气道中的应用  

Application of Fiberoptic Bronchoscope for Tracheal Intubation in Difficult Airway

作　　者：石勤业 周有发 陈钢 SHI Qinye;ZHOU Youfa;CHEN Gang(Department of Anesthesiology,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310000,Zhejiang,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院麻醉科,浙江杭州310000

出　　处：《医学信息》2025年第8期183-186,192,共5页Journal of Medical Information

摘　　要：困难气道是麻醉医生在围术期常常需要解决的难题。纤支镜是处理困难气道的重要方法之一,纤支镜清醒气管插管是为可预料的困难气道患者建立通畅气道的金标准,但纤支镜气管插管技术难以掌握,需要反复练习。本文综述了纤支镜气管插管的适应症及禁忌证、影响纤支镜插管的因素、提升纤支镜气管插管的安全性和效率的方法。Difficult airway is a difficult problem that anesthesiologists often need to solve during perioperative period.Fiberoptic bronchoscopy is one of the important methods to deal with difficult airway.For patients with predictable difficult airway,fiberoptic bronchoscopy for awake tracheal intubation is the gold standard for establishing unobstructed airway.However,it is difficult to master the technique of bronchoscopy tracheal intubation and needs to be practiced repeatedly.This article reviews the indications and contraindications of fiberoptic bronchoscopy for tracheal intubation,the factors affecting fiberoptic bronchoscopy for tracheal intubation,and the methods to improve the safety and efficiency of fiberoptic bronchoscopy for tracheal intubation.

关 键 词：纤支镜 气管插管 困难气道 安全 氧气 

分 类 号：R614[医药卫生—麻醉学]