摘要
目的 总结在全麻与紧急通气中应用喉罩的经验。方法 根据病人体质量 ,选择适宜的喉罩。病人仰卧 ,头放正位 ;操作者一手插入病人后枕部 ,使病人头后仰 ;另一手第 1,2指捏住喉罩通气管的根部 ,连接罩子之处 ,将第 3指按住下颌 ,将下颌前推 ,使病人张口达最大限度 ,轻轻将喉罩深入口内 ,以喉罩的尖端指向病人的硬腭并沿其生理弯曲送下 ,直到不能再送入为止。结果 166例病人中 ,,1次置入成功 14 3例 ,2次置入成功 17例 ,第 3次用中指引导置入 5例 ,用喉镜置入 4例 ,1例经反复调整后 ,仍明显漏气而改换气管内插管。喉罩放置时间 1 5h～ 3d ,平均 2 65h。副作用 :漏气 6例 ,拔除喉罩后咽部不适 2例。结论 喉罩的应用为呼吸道管理和建立提供了一种行之有效且简便的手段。
Objective To sum up the experiences from the application of laryngeal mask to general anaesthesia and urgent ventilation. Methods Firstly, Laryngeal mask was selected according to the body mass of the patient. Secondly, Facing upward, the patient took supine position. Thirdly, the operator inserted one of the hands into underneath the patient's lower occiput to make his head backward, and clamped with the index finger and the thumb of the other hand on the root of the ventilating tube of the laryngeal mask and then pressed his chin with the middle finger (to make his mouth open to the utmost). Pointing to hard palate, the laryngeal mask was sent into the patient's mouth and further downward along his curves. Results Of 166, 143 patients succeeded in placing the laryngeal mask in at the first time, and 17 ones at the second time. The indwelling time of the laryngeal mask was 1.5h to 3d (2.65h averagely). Air leak occurred in six patients, and there were two patients who felt uncomfortable in pharynx. Conclusion It has set up an effective and easy means to managing the respiratory tract that the laryngeal mask is utilized.
出处
《临床军医杂志》
CAS
2004年第6期81-82,共2页
Clinical Journal of Medical Officers
关键词
喉罩
全麻
紧急通气
laryngeal mask
general anaesthesia
urgent ventilation
