摘要
近年来,随着可视化技术的发展,气管镜检查已成为诊断呼吸系统疾病的重要手段之一。气管镜检查分为纤维支气管镜检查和硬质气管镜检查。普通气管镜检查可引起严重的应激性反应,出现呛咳、体动,甚至导致检查无法顺利完成。随着舒适化医疗的不断推进,无痛气管镜检查得到患者及术者的广泛认可。在实施气管镜检查时,检查医师和麻醉医师需要共用同一通气通道,这对实施麻醉管理是巨大的挑战。因此,在任何情况下都应采用最佳的麻醉策略,以确保患者的安全。
In recent years,with the development of visualization technology,tracheoscopy has become one of the important means to diagnose respiratory diseases.Tracheoscopy includes fiberoptic tracheoscopy and rigid tracheoscopy.Common tracheoscopy can cause serious stress reaction,choking,body movement,and even lead to the failure of the examination.With the continuous advancement of comfortable medical treatment,painless tracheoscopy has been widely recognized by the patients and operators.When performing tracheoscopy,the examining physician and anesthesiologist need to share the same ventilation channel,which is a great challenge to the implementation of anesthesia management.Therefore,in any case,the best anesthesia strategy should be adopted to ensure the safety of the patients.
作者
姚四一
吕雪彩
YAO Siyi;LYU Xuecai(Department of Anesthesiology,the First Medical Center,Chinese PLA General Hospital,Beijing 100853,China)
出处
《医学综述》
CAS
2022年第11期2211-2216,共6页
Medical Recapitulate
关键词
气管镜检查
纤维支气管镜
硬质气管镜
麻醉
Tracheoscopy
Fiberoptic bronchoscopy
Rigid tracheoscopy
Anesthesia