氣管導(dǎo)管套囊內(nèi)注入利多卡因?qū)獾赖谋Wo(hù)作用
發(fā)布時(shí)間:2018-07-02 11:20
本文選題:套囊 + 肺部并發(fā)癥; 參考:《臨床麻醉學(xué)雜志》2017年02期
【摘要】:正胃內(nèi)容物反流或口咽部分泌物誤吸是氣道或肺部并發(fā)癥的最常見原因,盡管氣管內(nèi)插管可以明顯減少誤吸的發(fā)生,但臨床上仍會(huì)有少量誤吸造成肺部并發(fā)癥的實(shí)例。目前臨床上通過氣管內(nèi)導(dǎo)管套囊充氣達(dá)到一定的壓力,來(lái)防止誤吸的發(fā)生。套囊內(nèi)壓力過高會(huì)對(duì)氣管造成損傷,但套囊壓力過低則不能完全防止誤吸。氣管導(dǎo)管氣囊內(nèi)充入液體時(shí),受壓后容積幾乎無(wú)變化,所以液體套囊在低壓力時(shí)也能防止誤
[Abstract]:The most common cause of airway or pulmonary complications is reflux of positive gastric contents or aspiration of oral and pharyngeal secretions. Although endotracheal intubation can significantly reduce the incidence of missuction, there are still a few cases of pulmonary complications caused by missuction. In order to prevent the occurrence of false aspiration, a certain pressure is reached through the inflation of intratracheal catheter sheath in clinic at present. Too high pressure in the capsule can cause injury to the trachea, but too low pressure of the capsule can not completely prevent aspiration by mistake. The volume of the trachea balloon is almost the same when it is filled with liquid, so the liquid capsule can also prevent the mistake when the pressure is low.
【作者單位】: 齊齊哈爾醫(yī)學(xué)院第二附屬醫(yī)院麻醉科;哈爾濱醫(yī)科大學(xué)第二附屬醫(yī)院麻醉科黑龍江省麻醉與危重病學(xué)研究重點(diǎn)實(shí)驗(yàn)室;
【基金】:基金項(xiàng)目:齊齊哈爾市科技局2015年社會(huì)發(fā)展攻關(guān)(SFGG-201530)
【分類號(hào)】:R614
【參考文獻(xiàn)】
相關(guān)期刊論文 前4條
1 吐爾遜阿依·買買提;鄭宏;;氣管導(dǎo)管套囊壓力研究進(jìn)展[J];臨床麻醉學(xué)雜志;2015年05期
2 周煒;劉燦;魯美靜;郭文俊;金孝\,
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