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我院在纤维支气管镜(FB)引导下经鼻腔插管并长期留置抢救16例呼吸衰竭。临床体会如下。一般资料16例中男11例,女5例,年龄25～74岁,平均54.2岁。慢性阻塞性肺疾病合并慢性肺心病10例,支气管哮喘持续状态4例,急性呼吸窘迫综合征2例。16例血气指标均达到呼吸衰竭诊断标准,平均PaO_26.5kPa。8例病人为高碳酸血症,PaCO_2平均为9.07kPa。8例病人无碳酸潴留。意识障碍者10例。12例插管后做辅助呼吸,4例做高频通气。方法本组使用之 FB 为 OlympusBF2TR 型,外径为
Our hospital under the guidance of fiberoptic bronchoscopy (FB) transnasal intubation and long-term indwelling rescued 16 cases of respiratory failure. Clinical experience is as follows. General information in 16 cases, 11 males and 5 females, aged 25 to 74 years, mean 54.2 years old. Chronic obstructive pulmonary disease with chronic pulmonary heart disease in 10 cases, 4 cases of bronchial asthma persistence, acute respiratory distress syndrome in 2 cases. 16 cases of blood gas indicators have reached the diagnostic criteria for respiratory failure, the average PaO_26.5kPa. 8 cases of patients with hypercapnia, PaCO_2 average of 9.07kPa. 8 patients without carbonated retention. 10 cases of disturbance of consciousness. 12 cases of assisted breathing after intubation, 4 cases of high-frequency ventilation. Methods used in this group of FB OlympusBF2TR type, diameter is