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目的探讨经喉罩肺灌洗在有困难气道的尘肺病患者中的应用。方法对1例年龄55岁的经历大容量肺灌洗术气管插管失败的患者采用三通喉罩通气全身麻醉下肺泡灌洗术。结果在全身麻醉及肌肉松弛剂的作用下,插管过程顺利,喉罩一次置管成功,右侧肺灌洗入量2 000 m L,出量1 560 m L,灌洗入量的容量接近于大容量肺灌洗术的容量,患者无痛苦回忆。结论经喉罩肺灌洗术可用于有困难气道的尘肺病患者,它能避开困难气道和鼻息肉等条件的限制,具有安全、可靠、效果满意等优点,值得在有困难气道的尘肺病患者中推广。
Objective To investigate the application of laryngeal lung lavage in patients with pneumoconiosis with difficult airway. Methods One case of 55-year-old patients undergoing large-capacity lung lavage intubation was treated with laryngeal mask ventilation and bronchoalveolar lavage under general anesthesia. Results Under general anesthesia and muscle relaxant, intubation was successful. One laminectomy tube was successfully inserted. The right lung lavage volume was 2 000 mL and the volume was 1 560 mL. The capacity of lavage volume was close In the capacity of large-capacity lung lavage, patients have no painful memories. Conclusion Laryngeal lavage lung lavage can be used in patients with pneumoconiosis with difficult airway, which can avoid the limitations of difficult airway and nasal polyps, which has the advantages of safety, reliability and satisfactory results, which is worth to be used in patients with difficult airway Of patients with pneumoconiosis.