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目的探讨纤维支气管镜经鼻气管插管在院前急救中的安全性和可行性。方法在院前急救中采用便携式纤维支气管镜经鼻气管内插管技术,统计插管时间,插管成功率和并发症发生率。结果41例患者院前均一次性插管成功,插管时间1～5min,未出现严重并发症。结论纤维支气管镜经鼻气管内插管技术是一种快速、安全、有效建立人工气道的技术,可在院前急救中推广和应用。
Objective To investigate the safety and feasibility of nasal endotracheal intubation with bronchoscope in prehospital emergency. Methods Using portable fiberoptic bronchoscopy and nasotracheal endotracheal intubation during pre-hospital emergency, the time of intubation, the success rate of intubation and the complication rate were counted. Results All patients were successfully intubated in one time before intubation, and the time of intubation was 1 ~ 5min. There were no serious complications. Conclusion The technique of nasal endotracheal intubation with fiberoptic bronchoscopy is a rapid, safe and effective technique to establish artificial airway, which can be widely applied in pre-hospital emergency.