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2011年10月至2013年10月,攀钢总医院密地院区呼吸内科采用纤维支气管镜引导下经鼻气管插管9例。效果满意。现报告如下。1临床资料1.1一般资料9例患者均有采用经鼻气管插管进行机械通气的指征,插管前均有自主呼吸。其中慢性阻塞性肺气肿并呼吸衰竭5例,肺癌晚期2例,重症肺炎1例,麻醉科喉镜下经口插管困难1例。9例均为男性,年龄46~84岁。
From October 2011 to October 2013, 9 cases of nasopharyngeal intubation under the guidance of fiberoptic bronchoscopy were performed in Department of Respiratory Medicine, Mianyang Hospital of Panzhihua Iron and Steel General Hospital. Satisfactory results. The report is as follows. 1 Clinical data 1.1 General Information 9 patients have adopted nasotracheal intubation for mechanical ventilation indications, have spontaneous breathing before intubation. Among them, 5 were chronic obstructive pulmonary emphysema with respiratory failure, 2 were advanced lung cancer, 1 was severe pneumonia and 1 was difficult to intubate under laryngoscope. 9 cases were male, aged 46 to 84 years.