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为促进经鼻气管插管术在抢救呼吸衰竭中的普及应用与辅助经口气管插管更易通过声门,笔者试制了多功能的可弯透光型气管插管引导管芯(以下简称导芯),容易操作,能快速完成插管.现介绍如下1 原理与结构导芯外径粗4mm,长30cm.末端有一只微型强光灯泡.采用3伏便携电池;灯光的亮度可透过咽喉与上段气管前壁,在遮光下颈前正中线能见一移行的亮点.导芯内有可调弯曲装置,在手柄上能调节末端的弯曲度.导芯内还有微型塑料管、供气管内给药用(见附图).2 临床资料与方法2.1 经鼻气管插管 慢阻肺呼衰3例,尿毒症晚期肺水肿4例,急性中毒呼衰2例,肺脓肿、肺结核各1例(气管内给药12次),年龄25～46岁.方法:用利多卡
To promote the nasogastric endotracheal intubation in the rescue of respiratory failure and the popularity of assisted use of oral transbronial intubation more easily through the glottis, the author tried a flexible translucent endotracheal intubation guide die (hereinafter referred to as the guide core ), Easy to operate, can quickly complete the intubation is now introduced as follows 1 Principle and structure of the core diameter 4mm thick, 30cm long end with a micro-light bulbs using 3-volt portable batteries; light brightness through the throat and The upper anterior wall of the trachea can be seen in the midline of the neck under the light of a moving bright spot guide core adjustable curving device on the handle can adjust the end of the curvature of the guide core also has a miniature plastic pipe, (See attached) .2 clinical data and methods 2.1 through the nasal endotracheal intubation slow obstructive pulmonary disease in 3 cases, 4 cases of advanced uremic pulmonary edema, acute poisoning respiratory failure in 2 cases, lung abscess, tuberculosis in 1 case (Intratracheal administration of 12 times), aged 25 to 46. Methods: Lidoca