可视可塑型硬光纤喉镜在困难气管插管中的应用.pdfVIP

第 13卷4期 天 津 医科 大 学 学 报 V01．13．No．4 2007年 12月 JOURNAL OF TIANJIN MEDICAL UNIVERSITY Dec．2007 519 可视可塑型硬光纤喉镜在困难气管插管中的应用 闰东来，于泳浩，刘宏伟 (天津医科大学总医院麻醉科，天津300052) [摘要]目的：探讨可视可塑型硬光纤喉镜(sos)在困难气管插管中的应用。方法：择期全麻手术患者50例，麻醉前被 预测为可能存在气管插管困难。随机分为两组：I 组，20例，采用直接喉镜捅管；s组，30例，采用sos插管。麻醉诱导 后进行气管内插管，观察诱导时(To)、插管时(rrJ)、插管后即刻(T2)不同时点的心率(HR)、平均动脉压(MAP)的变化， 记录每例病人的插管时间。结果：L组中8例病人 (40％)1次插管成功，5例病人 (25％)2次插管成功，3例病人 (15％)3次插管成功，插管时间分别为(13+2．8)s、(92+9．2)s、(188~19．6)s，4例病人(20％)采用其他方法进行通 气；S组中22例病人(73％)1次插管成功，8例病人(27％)2次插管成功，所用时间分别为(13~2．2)S和(37~3．7)S。两 组病人MAP、HR在rfn和r rl时无明显差异(尸0．05)，rr1时L组病人明显高于S组病人(氏0．01)。结论：使用SOS进行 困难气管内插管，对病人损伤较小，心血管反应较轻，插管较迅速、易于掌握，值得广泛应用。 [关键词]可视可塑型硬光纤喉镜；困难气管插管；直接喉镜 [中图分类号]R614 [文献标识码]A [文章编号]1006—8147(2007)04—0519—03 Application of seeing optical stylet in difficult tracheal intubation YAN Dong—lai，YU Yong—hao，LIU Hong—wei (Department of Anesthesiology，General Hospital，Tianjin Medical University，Tianjin 300052，China) ABSTRACT Objective：To investigate the application of seeing optical stylet(SOS)in difficult tracheal intubation．Methods：Fifty patients undergoing selective surgery with general anesthesia were predicted dimcult tracheal intubation．They were divided into two groups randomly．A1l of the patients were intubated after anesthetic induction．Group L(n=20)：Patients were intubated with direct laryngoscope；group S(n=30)： Patients were intubated with SOS．The changes of MAP and HR were observed at different time points and the intubation time were recorded．Results：In group L，eight patients(40％)were intubated successfully in the first attempt，five patients(25％)and three patients(1 5％)were intubated successfully in the second