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目的探讨纤维支气管镜引导经鼻气管插管抢救重症哮喘患者的临床疗效观察。方法选取我院2011年3月至2012年6月30例重症哮喘患者进行纤维支气管镜引导经鼻气管插管抢救,并进行临床观察。结果本组30例患者均一次成功,插管过程中血压、心率、动脉血氧饱和度均在正常范围内。4例在抢救过程中有少量鼻出血,后自行缓解,平均3～5d脱机。结论纤维支气管镜引导经鼻气管插管抢救重症哮喘临床疗效明显,值得推广。
Objective To investigate the clinical curative effect of nasal endotracheal intubation guided by fiberoptic bronchoscope in patients with severe asthma. Methods From March 2011 to June 2012 in our hospital, 30 patients with severe asthma were treated with fiberoptic bronchoscopy for endotracheal intubation and were clinically observed. Results All 30 patients in this group were successfully treated. During the intubation, blood pressure, heart rate and arterial oxygen saturation were all in the normal range. 4 cases in the rescue process a small amount of nosebleed, relieve themselves, an average of 3 ~ 5d offline. Conclusion The clinical curative effect of fiberoptic bronchoscope guided by nasotracheal intubation for the treatment of severe asthma is obvious and worthy of promotion.