纤维支气管镜引导经鼻气管插管抢救COPD重症呼吸衰竭患者的应用价值

The Application Value of Guided by Fiberbronchoscope Through Nasal Tracheal Intubation in the Treatment of Patients with Severe Respiratory Failure

目的:探讨纤维支气管镜引导经鼻气管插管在抢救COPD重症呼吸衰竭患者中的疗效。方法:50例COPD重症呼吸衰竭患者在纤维支气管镜引导经鼻气管插管后行呼吸机辅助通气治疗,观察成功率、临床表现、血气分析变化。结果:50例纤维支气管镜引导经鼻气管插管成功率达100%,并发症少,操作时间短0.5～2min,血气分析显示:pH、PaO2和PaCO2较前明显改善(P<0.01),SaO2上升。结论:纤维支气管镜引导经鼻气管插管抢救重症呼吸衰竭患者安全、迅速,插管成功率高,能有效纠正呼吸衰竭,改善通气,提高抢救患者的成功率。

Objective ：To investigate the effect of the fiberoptic bronchoscope guided nasotracheal intubation in rescuing patients with respiratory failure in the COPD.Methods ：50 cases of COPD patients with severe respiratory failure in the fiber bronchoscope after nasntracheal intuhation mechanical ventilation treatment, the success rate, clinical symptoms, blood gas analysis were observed.Results ： The success rate of 50 patients guided by fiberbronchoscope through nasal tracheal intubation was 100%, 50 patients had fewer complications, short operating time （0.5-2 min）, blood gas analysis ofpH, PaOz and PaCO2 significantly improved （P〈0.01）, SaO2 rose.Conclusion ：Guided byfiberbronchoscope through nasal tracheal intubation in treatment of severe respiratory failure patient is safety, rapid, the intubation success rate is high, can effectively correct the respiratory failure, improve ventilation, improve the success rate of emergency patients.