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目的探讨经鼻无创纤维支气管镜在难置性气管插管中应用的可行性及临床价值。方法对48例难置性气管插管患者进行经鼻纤维支气管镜引导下气管插管,观察效果。结果经鼻纤维支气管镜引导下的气管插管均一次性成功,平均耗时1.5 min,无严重并发症发生。插管后血气分析结果优于插管前(P<0.05)。结论经鼻纤维支气管镜在难置性气管插管中应用操作安全、提高了一次性插管成功率、减轻患者痛苦、缩短插管时间、减少损伤、降低风险,值得在临床应用中推广。
Objective To investigate the feasibility and clinical value of nasal noninvasive bronchofibroscopy in refractory tracheal intubation. Methods Forty-eight patients with refractory tracheal intubation underwent tracheal intubation guided by nasal fiber bronchoscopy. The effect was observed. Results Tracheal intubation guided by nasal fiber bronchoscope was successful in one time, with an average time of 1.5 min, without serious complications. Intubation blood gas analysis results better than before intubation (P <0.05). Conclusion The use of nasal fiber bronchoscopy in difficult-to-end tracheal intubation safe operation, improve the success rate of one-time intubation, reduce patient pain, shorten the time of intubation, reduce injury, reduce risk, it is worth to promote in clinical application.