CAJ | 학술논문

目的：探讨经纤维支气管镜引导经鼻气管插管在神经外科中的应用价值。方法：118例神经外科需要实施机械通气的重症颅脑外伤及脑出血患者随机分观察组及对照组各59例，对照组实施气管切开机械通气，观察组采用经纤维支气管镜引导经鼻气管插管实施机械通气。结果：观察组一次插管成功，插管过程中未出现严重等并发症，观察组插管(2.45±1.28)min、留置管(8.45±3.45) d、呼吸机相关性肺炎6.78%、呼吸机依赖8.47%、住院(22.89±6.47)d均短于对照组的(15.56±3.48)min、(13.78±4.08)d、22.03%、18.64%、(30.23±7.78)d (P<0.05)。结论：纤维支气管镜引导下经鼻气管插管，操作损伤小、用时少，患者耐受性好，并发症低，在临床工作中可作为一个较好的技术得到应用。
목적：탐토경섬유지기관경인도경비기관삽관재신경외과중적응용개치。방법：118례신경외과수요실시궤계통기적중증로뇌외상급뇌출혈환자수궤분관찰조급대조조각59례，대조조실시기관절개궤계통기，관찰조채용경섬유지기관경인도경비기관삽관실시궤계통기。결과：관찰조일차삽관성공，삽관과정중미출현엄중등병발증，관찰조삽관(2.45±1.28)min、류치관(8.45±3.45) d、호흡궤상관성폐염6.78%、호흡궤의뢰8.47%、주원(22.89±6.47)d균단우대조조적(15.56±3.48)min、(13.78±4.08)d、22.03%、18.64%、(30.23±7.78)d (P<0.05)。결론：섬유지기관경인도하경비기관삽관，조작손상소、용시소，환자내수성호，병발증저，재림상공작중가작위일개교호적기술득도응용。
Objective:To explore the application value of fiberoptic bronchoscopy guided nasotracheal intubation in the Department of neurosurgery. Methods:118 cases of severe craniocerebral injury and cerebral Department of Neurosurgery requires the implementation of mechanical ventilation in patients with bleeding were randomly divided into observation group and the control group 59 cases,The control group received tracheotomy for mechanical ventilation; the observation group with transbronchial nasotracheal intubation mechanical ventilation. Results:The observation group the one-time success rate of intubation, no serious complications, The observation group catheterization(2.45±1.28)min, catheter, (8.45±3.45)d, ventilator associated pneumonia6.78%,ventilator dependent8.47%, hospitalization(22.89±6.47)d Shorter than the control group (15.56±3.48) min, (13.78±4.08) d, 22.03%, 18.64%, (30.23±7.78) d (P<0.05). Conclusion:Nasotracheal intubation guided by fiberbronchoscope, less injury, less operation time, patient tolerance is good, low complication rate, in clinical work can be a good technology applied.