中国全科医学2011，Vol.14Issue(5)：560-561,2.
逆行气管插管与经鼻纤维支气管镜引导气管插管的临床比较
Clinical Comparison of Retrograde Intubation and Bronchofibroscope-guided Nasal Trachea Cannula in Intensive Care Unit
许庆林 1朱宏泉 1李葆华1
作者信息
- 1. 341000,江西省赣州市赣南医学院第一附属医院ICU
- 折叠
摘要
Abstract
Objective To compare the clinical values of retrograde intubation ( RI ) and bronchofibroscope — guided nasal trachea cannula ( BGNTC ) in intensive care unit ( ICU ). Methods Totally 44 patients with difficulties in trachea cannula were enrolled in this study. Of these patients, 26 had experienced 2-3 times of conventional laryngoscpic intubation failure and 18 were pre - operatively assessed to be with difficulty in trachea cannula. Twenty three patients were intubated using retrograde traction technology ( RI group ); 21 patients were intubated under nasal trachea cannula guided by bronchofibroscope ( BGNTC group ). Results The success rate was 100％ in RI group and 95％ in BGNTC group ( x2 = 1. 12, P ＞0. 05 ). The duration of intubation was ( 3. 98 ±0. 73 ) min in RI group and ( 5. 19 ±0. 82 ) min in BGNTC group ( t = -5. 079, P =0. 00 ). The incidence of bleeding showed no significant difference between these two group ( x2 = 2. 39, P = 0. 71 ). Conclusion Compared with BGNTC, RI has certain advantages including more convenient to obtain sample, simpler to perform, and easier to control intubation duration.关键词
气管插管困难/逆行气管插管/经鼻纤维支气管镜引导气管插管分类
医药卫生引用本文复制引用
许庆林,朱宏泉,李葆华..逆行气管插管与经鼻纤维支气管镜引导气管插管的临床比较[J].中国全科医学,2011,14(5):560-561,2.
