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气道超声评估在新型冠状病毒肺炎病人气管插管中的应用价值

The application value of endobronchial ultrasonography in endotracheal intubation for the COVID-19 patients

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【作者】 许巧巧张毅郭威梅伟

【Author】 XU Qiaoqiao;ZHANG Yi;GUO Wei;Department of Anesthesiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology;

【通讯作者】 郭威;梅伟;

【机构】 华中科技大学同济医学院附属同济医院麻醉科华中科技大学同济医学院附属同济医院感染科

【摘要】 新型冠状病毒肺炎(COVID-19)传染性强,人群普遍易感,老年病人病情发展易转为危重症,及时行气管插管增加氧合有利于改善预后。病人呼吸支持及医护三级防护下,重症病人气道评估及气管插管导管确认存在困难。有效地借助床旁超声进行快速、便捷的气道评估及导管位置判断,是对现有插管技术的重要补充,在此次疫情危重症病人气管插管诊疗过程中享有"视诊器"的美誉。

【Abstract】 Objective The epidemic COVID-19 is high infectivity and susceptibility.Elderly patients are prone to critical illness in the course of disease development.Providing the severe patients endotracheal intubation in time to increase the oxygenation is conducive to improve the prognosis.The COVID-19 severe patients are with respiratory support,and clinicians and nurses wear biosafety level-3(BSL-3)protective medical equipment,so there are great difficulties during the airway assessment and the position confirmation for the endotracheal tube.It is an important supplement for the intubation technique to accomplish the airway assessment and position judgment rapidly and conveniently under the assist of endobronchial ultrasonography.Endobronchial ultrasonography is valued as visual diagnosis device in endotracheal intubation for COVID-19 patients.In the course of endotracheal intubation diagnosis and treatment of critically ill patients in this epidemic,it enjoys the reputation of "visual instrument".

  • 【文献出处】 临床外科杂志 ,Journal of Clinical Surgery , 编辑部邮箱 ,2020年03期
  • 【分类号】R563.1;R445.1
  • 【被引频次】4
  • 【下载频次】131
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