纤维支气管镜引导下经鼻气管插管是近年来临床较为常用的抢救呼吸衰竭的手段之一,比气管切开简便,迅速,利于在急救时应用,对此已有不少报道.但对于其在临床应用中究竟与气管切开比较优点和缺点各有那些,特别是长期插管对声门的影响,尚需进一步总结与观察.本文分析总结了38例慢性阻塞性肺疾病(COPD)呼吸衰竭时分别应用经鼻气管插管或气管切开抢救的临床体会,以比较两种方法的优缺点. Nasal endotracheal intubation under the guidance of fiberoptic bronchoscopy is one of the more commonly used methods to rescue respiratory failure in recent years, which is more simple and rapid than tracheotomy and is beneficial to the application in first aid. However, there are many reports on this In clinical applications and tracheotomy compared with the advantages and disadvantages of those who have, especially the long-term intubation of the glottis, still needs further summary and observation.This paper analyzes 38 cases of chronic obstructive pulmonary disease (COPD) breathing Failure, respectively, by nasotracheal intubation or tracheotomy rescue clinical experience to compare the advantages and disadvantages of the two methods.