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如果支气管镜检查以外,还要作支气管造影检查,二者可连续操作。纤维支气管镜用作喉镜,在内腔镜指引下很容易将导管插入气管。本操作法不仅节约时间,而且这种气管内插管法病人更能耐受。Lutch等2年来利用纤维支气管镜为25例作了支气管造影检查。操作方法: 方法一完成经鼻支气管镜检查后,将支气管镜尖端刚好退到会厌平面以上,将涂有胶冻的导管经另侧鼻孔插到声门上区,然后在内腔镜控制下慢慢将导管推进,看到导管抵达声门上方,就很容易使它通过声门。因为气管在检查前已经麻醉过,只需追加少量麻醉。方法二检查前一小时肌注杜冷丁50mg和阿托品0.4mg。在X线透视下进行纤维支气管镜
If the bronchoscopy, but also for bronchography, the two can be continuous operation. Fiberoptic bronchoscopy is used as a laryngoscope, which is easily inserted into the trachea under endoscopic guidance. This method of operation not only saves time, but also the endotracheal intubation patients are more tolerant. Bronchoscopy was performed in 25 patients using fiber bronchoscopy for two years, including Lutch et al. Method of operation: Methods After the nasal bronchoscopy is completed, the tip of the bronchoscope just retreats above the plane of the epiglottis. The jelly-coated catheter is inserted through the other nostril into the supraglottic area and then slowly under endoscopic control Slowly advance the catheter, see the catheter arrived above the glottis, it is easy to make it through the glottis. Because the trachea has been anesthetized before the exam, just add a small amount of anesthesia. Method two intramuscular injection of pethidine 50mg and atropine 0.4mg. Bronchoscopy was performed under fluoroscopy