应用换管器解决困难气管插管362例临床分析

Clinical analysis on 362 cases of difficult tracheal intubation solved by tube changer

目的:探讨换管器在辅助完成困难气管插管中的作用。方法:全组362例,均选择换管器辅助完成困难插管,过程中严密监测心电图、血压和血氧饱和度等变化。统计完成插管时间。结果:成功340例,成功率93.9%,22例因插管失败改气管切开术。结论:换管器作为一种很好的辅助置管设备,在解决急诊插管困难时使用方便,缩短插管时间,提高困难插管成功率。根据监测状况及时调整插管方案。

Objective:To discuss the effect of tube changer in relieving difficult tracheal intubation.Methods:Three hundred and sixty-two patients with difficult tracheal intubation were selected to be aided with tube changer in the study.Electrocardiogram,blood pressure and oxygen saturation were observed.Results:The incidence of successful intubation was 93.9%(340/362).Twenty-two failing cases were treated by tracheotomy.Conclusion:Tube changer is a well assisting equipment in treating difficult tracheal intubation.By using tube changer,the intubation time in the patients with difficult intubations decreased and the incidence of successful intubation increases.It is recommended to adjust intubation on the basis of monitoring result.