气管插管是急诊科经常遇到的基本技术操作之一,大多数的危重患者可以进行常规气管插管,但也有部分患者因为上呼吸道、头面部、颈部、胸壁等解剖学因素或病理学改变造成解剖结构变化导致插管困难。为此,笔者采取中心静脉导丝联合胃管引导逆行气管插管用于困难气管插管,取得了良好的效果,现将该情况总结报道如下。1资料与方法1.1一般资料2010-2013年内蒙古中蒙医医院及内蒙古国际蒙医医院急诊科困难气管插管患者32例,全部 Endotracheal intubation is one of the basic technical operations often encountered in the emergency department. Most critically ill patients can undergo conventional tracheal intubation, but some patients may have anatomical or pathological features such as upper respiratory tract, head and face, neck, chest wall, etc. Changes caused by anatomical changes lead to intubation difficulties. To this end, I take the central venous guide wire combined with gastric tube guide retrograde tracheal intubation for difficult tracheal intubation, and achieved good results, the situation is summarized as follows. 1 Materials and Methods 1.1 General Information 2010-2013 Inner Mongolia Mongolian Medicine Hospital and Inner Mongolia International Mongolian Medical Hospital Emergency Department of Intratylotomy 32 patients, all