中国美容医学2011，Vol.20Issue(z3)：160,162,2.
纤维支气管镜在开胸术中的应用
The role of fiberoptic bronchoscope in the positioning of double- lumen endobronchial tube
邹国红 1甘建辉1
作者信息
- 1. 河北省唐山市胜利路65号唐山市人民医院,河北唐山063000
- 折叠
摘要
Abstract
Objective: To evaluate the accuracy of positionning double - lumen tube (DLT) intubation with fibreoptic bronchoscopy.Methods: One hundred and twenty ASA Ⅰ～Ⅱ patients who underwent thoracic operation and required one lung ventilation ( OLV ) were studied.After anesthesia induction, a selected Portex Robertshaw DLT was inserted by one anesthetist.Bronchoscopy was performed by another anesthetist after intubation and anscultative verification of correct placement and after patient positioning for thoracotomy.A DLT was considered malplacement when its deviation ＞0.5cm.Then the results were recorded.Meanwhile Paw and SPO2 during OLV were recorded.Results: After blind intubation and patient positioning, DLT was found to be displaced in 71.3％ and 45.0％ by Bronchoscopy.Distal malposition was similar with proximal malposition after intubation.But after positioning, proximal malposition occurred more frequently than distal malposition.Right - sided DLT was significantly more likely to be displaced than left - sided DLT.Conclus ion:The use of FOB as a diagnostic tool in positioning the Robertshaw PVC - DLT both after blind intubation and after patient positioning is reliable and necessary.关键词
双腔支气管导管/纤维支气管镜/定位Key words
Key words Robertshaw DLT/ FOB/ Positioning分类
医药卫生引用本文复制引用
邹国红,甘建辉..纤维支气管镜在开胸术中的应用 [J].中国美容医学,2011,20(z3):160,162,2.
