[1]滕冬梅,樊超强,刘恩,等.超细胃镜引导气管插管在急诊胃镜手术中的应用[J].第三军医大学学报,2015,37(19 ):1985-1988.
 Teng Dongmei,Fan Chaoqiang,Liu En,et al.Application of ultra-slim gastroscope to guide orotracheal intubation in emergency gastroscopy[J].J Third Mil Med Univ,2015,37(19 ):1985-1988.
点击复制

超细胃镜引导气管插管在急诊胃镜手术中的应用(/HTML )
分享到:

《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
37卷
期数:
2015年第19期
页码:
1985-1988
栏目:
论著
出版日期:
2015-10-15

文章信息/Info

Title:
Application of ultra-slim gastroscope to guide orotracheal intubation in emergency gastroscopy
作者:
滕冬梅樊超强刘恩景江建罗敏刘璐李春花柏健鹰
第三军医大学新桥医院消化内科;威远县第一人民医院外二科
Author(s):
Teng Dongmei Fan Chaoqiang Liu En Jing Jiangjian Luo Min Liu Lu Li Chunhua Bai Jianying

Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, 400037; Second Department of Surgery, First People’s Hospital of Weiyuan County, Neijiang, Sichuan Province, 642450, China

关键词:
超细胃镜气管插管急诊胃镜手术
Keywords:
ultra-slim gastroscope orotracheal intubation emergency gastroscopy
分类号:
R459.7; R472.9; R573
文献标志码:
A
摘要:

目的      探讨超细胃镜引导气管插管在急诊胃镜手术中的应用价值。       方法      选取2012年6月至2014年10月我科胃镜中心的84例需经口气管插管的急诊胃镜手术患者,分为超细胃镜引导组和直接喉镜组。超细胃镜引导组采用超细胃镜引导的新方法行气管插管,直接喉镜组采用Macintosh喉镜行气管插管。比较两组患者气管插管时间、插管成功率、插管不良反应及术后8 h咽喉疼痛情况。      结果       与直接喉镜组比较,超细胃镜引导组一次性插管成功率高,插管时间及插管不良反应少,超细胃镜引导组患者咽喉疼痛程度明显低于直接喉镜组(P<0.05)。      结论      急诊胃镜手术患者气管插管时应用超细胃镜引导的方法,可明显缩短插管时间,提高插管成功率,减少并发症,值得临床推广应用。

Abstract:

Objective      To investigate the clinical value of ultra-slim gastroscope in guiding orotracheal intubation in emergency gastroscopy.       Methods      Eighty-four emergency patients who accepted endoscopic treatment with orotracheal intubation in our hospital from June 2012 to October 2014 were enrolled in this study. They were randomly divided into ultra-slim gastroscope-guided group (n=45) and macintosh direct laryngoscope group (n=39). The intubation time, success rate of intubation, adverse reactions and throats pain in 8 h after operation were studied and compared between the 2 groups.       Results      The success rate of first-time intubation were superior in the ultra-slim gastroscope-guided group than the direct laryngoscope group. The former group also had lower incidences of adverse reactions and milder throats pain than the latter group (P<0.05).       Conclusion      For the patients undergoing emergency gastroscopy, ultra-slim gastroscope shortens the time for intubation, increase success rate and reduces relative complications, and it is worth of promotion and application in clinical practice.

相似文献/References:

[1]张微,孙成华,冉婷.不同通气方法在无痛苦纤维支气管镜诊疗技术中的应用[J].第三军医大学学报,2008,30(18):1689.
[2]王一雄,李扬亿,谢文钦,等.罗库溴铵用于快速气管插管肌松效应的临床观察[J].第三军医大学学报,2005,27(23):2387.
[3]倪飞英.气管插管吸引抢救羊水胎粪污染新生儿的临床意义[J].第三军医大学学报,2009,31(21):2163.
[4]郝景宇,赵尤美,林康,等.可视喉镜联合纤维支气管镜行气管插管在60例颈椎骨折手术中的应用[J].第三军医大学学报,2014,36(13):1437.
[5]缪心军,陈清,李勇,等.视频喉镜和普通喉镜在各级声门显露患者气管插管中应用的比较[J].第三军医大学学报,2014,36(16):1745.
 [J].J Third Mil Med Univ,2014,36(19 ):1745.
[6]鲁开智,毕敏,文亮,等.围产期心肌病、急性肺水肿麻醉处理一例[J].第三军医大学学报,1992,14(05):0.[doi:10.16016/j.1000-5404.1992.05.040 ]
[7]袁伯庆,范文汉,赵洪进,等.小号气管插管及高频喷射呼吸器在喉显微手术中的应用——(附76例报告)[J].第三军医大学学报,1987,09(04):0.[doi:10.16016/j.1000-5404.1987.04.023 ]
[8]冯华芳,赵雄飞,李成斌,等.呼吸道烧伤狗早期血浆肾素—血管紧张素系统变化的初步观察[J].第三军医大学学报,1982,04(04):0.[doi:10.16016/j.1000-5404.1982.04.016 ]
[9]王瑜,张定林,冯伟,等.小鼠铜绿假单胞菌气管插管滴注法肺部感染模型的建立及评价[J].第三军医大学学报,2019,41(10):918.
 WANG Yu,ZHANG Dinglin,FENG Wei,et al.Establishment and evaluation of a mouse model of pulmonary Pseudomonas aeruginosa infection by intratracheal instillation[J].J Third Mil Med Univ,2019,41(19 ):918.

更新日期/Last Update: 2015-09-28