CAJ | 학술논문

严重气道狭窄患者12例,年龄34～87岁,体重50～80kg,ASA分级Ⅳ或Ⅴ级,X线透视下,采用介入放射法引导,经口腔插入导丝.沿导丝置入鞘管与扩张器套装,套上合适型号的气管导管,固定导丝,将鞘管及扩张器越过狭窄气管,插至隆突上方或一侧主支气管内,固定鞘管及扩张器,气管导管顺鞘管越过狭窄的气管段插至狭窄的气道下方,固定气管导管,迅速将鞘管、扩张器和导丝从气管导管内撤出,外固定气管导管.12例严重气道狭窄患者气管插管均成功,插管时间1～5 min,未见相关严重并发症发生.
엄중기도협착환자12례,년령34～87세,체중50～80kg,ASA분급Ⅳ혹Ⅴ급,X선투시하,채용개입방사법인도,경구강삽입도사.연도사치입초관여확장기투장,투상합괄형호적기관도관,고정도사,장초관급확장기월과협착기관,삽지륭돌상방혹일측주지기관내,고정초관급확장기,기관도관순초관월과협착적기관단삽지협착적기도하방,고정기관도관,신속장초관、확장기화도사종기관도관내철출,외고정기관도관.12례엄중기도협착환자기관삽관균성공,삽관시간1～5 min,미견상관엄중병발증발생.
Twelve ASA Ⅳ or Ⅴ patients with severe airway stenosis, aged 34-87 yr, weighing 50-80 kg,were enrolled in the study. The guidewire and endotracheal tube were inserted through the oral cavity under the guidance of the method of interventional radiology. The expandor was then exchanged and the endotracheal tube was placed in the suitable position within the trachea along the expandor under X-ray guidance. Endotracheal intubation was technically successful in all patients, without serious complications in the process. The intubation time was 1-5 min.