CAJ | 학술논문

目的探讨纤维支气管镜在神经外科重症病人气道管理中的应用价值.方法我院神经外科与呼吸内科、ICU科合作,对我院开放气道的206例神经外科重症病人进行纤维支气管镜检查和治疗,并对其痰标本阳性率、血气分析指标的变化以及胸片的变化进行前后自身对照.结果经纤支镜留取的痰标本的痰培养阳性率明显高于常规途径留取的痰标本培养,治疗前后血气分析中pH、PaO2、PaCO2、SaO2等各项指标以及胸片检查均明显好转(P＜0.05);引导经鼻气管插管,调整及更换气管切开套管成功率明显提高.结论纤维支气管镜的检查和治疗在神经外科重症病人气道管理中有重要价值.
목적 탐토섬유지기관경재신경외과중증병인기도관리중적응용개치.방법 아원신경외과여호흡내과、ICU과합작,대아원개방기도적206례신경외과중증병인진행섬유지기관경검사화치료,병대기담표본양성솔、혈기분석지표적변화이급흉편적변화진행전후자신대조.결과 경섬지경류취적담표본적담배양양성솔명현고우상규도경류취적담표본배양,치료전후혈기분석중pH、PaO2、PaCO2、SaO2등각항지표이급흉편검사균명현호전(P＜0.05);인도경비기관삽관,조정급경환기관절개투관성공솔명현제고.결론 섬유지기관경적검사화치료재신경외과중증병인기도관리중유중요개치.
Objective To analyze the application value of fiberoptic bronchoscope in airway management in neurosurgical severe patient. Methods The positive rate of sputum, values of blood gas analysis and chest radiograph were measured before and after fiberoptic bronehoscope manipulation in 206 cases of open-airway neurosurgical severe patients. Results The positive rate of sputum cultured that get by fiberoptic bronchoscope is obviously superior to that by routine way. The indexes of blood gas analysis such as PH, PaO2,PaCO2,SaO2 and the chest films were evidently improved after treatment (P< 0.05). Also the success rate of guiding tracheal intubation by nose and adjusting or changing tracheostomy cannula were increased. Conclusion The examination and treatment by fiberopfic bronehoseope played an important role in the airway management of neurosurgical severe patients.