Objective In this paper, the authors discuss the possibility and clinical significance of the nasotracheal intubation and bronchoclysis instead of tracheal incision to treat the severe head-injured patients with dyspnea. 目的探讨鼻插管及纤支镜下肺泡灌洗救治重型颅脑伤呼吸障碍患者替代气管切开的可行性及临床意义。
Conclusion When patients suffering from serious asthma have acute signs and have been treated by making fibrous bronchoclysis in time supported by invasive ventilation could get good effect and had credible safety. 结论危重哮喘患者有急需纤支镜诊疗指征时,及时在有创机械通气支持下行纤支镜诊治术,具有良好效果及可靠的安全性。
Conclusion The nasotracheal intubation and bronchoclysis may take place of the tracheal incision in treating severe head-injured patients, especially those with GCS ≥ 6-8. 预后优于气管切开组P<0.01。结论对重型颅脑损伤合并呼吸障碍特别是GCS≤6~8分的患者可先考虑经鼻气管插管取代气管切开。
Objective To study safety of treatment through bronchoclysis supported by invasive mechanical ventilation in patients suffering from serious asthma with extensive grume embolisms in small bronchioles or atelectasis. 目的探讨危重哮喘并广泛小气道黏液栓或肺不张患者,在有创机械通气中行纤维支气管镜(纤支镜)诊疗的安全性。