食道堵塞引流法在急诊饱胃患者全麻诱导中临床应用.PDFVIP

290 Medical Science Journal of Central South China,May2013,Vol.41,No.3 文章编号:2095-1116(2013)03-0290-03 ·临床医学· 食道堵塞引流法在急诊饱胃患者 全麻诱导中的临床应用 袁向华,贺摇 涛,吴建新 (娄底市中心医院麻醉科,湖南 娄底417000) 摘摇 要:摇 目的摇 探讨食道堵塞引流法在急诊饱胃患者全麻诱导中预防返流误吸的可行性。摇 方法摇 回顾性 选择2010年1月~6 月120例急诊饱胃患者(观察组),全麻诱导时先盲探插入食道堵塞管(加强型钢丝气管导 管)控制食道(该导管与外界相通,达到引流目的),再常规诱导气管插管控制气道。 与2009年7 月~12 月采用快 诱导加环状软骨压迫的148例急诊饱胃患者(对照组)进行比较。 观察记录并比较两组患者全麻诱导时呕吐、返流 和误吸的发生情况。摇 结果摇 对照组有14例患者发生呕吐、20例患者发生返流、有8例患者发生误吸,死亡患者1 例。 观察组只有2例患者发生呕吐,无返流误吸等并发症发生,两组比较差异有显著性(P 0.05)。摇 结论摇 食道 堵塞引流法用于急诊饱胃患者全麻诱导中预防返流误吸安全可行。 关键词:摇 饱胃;摇 全麻;摇 诱导;摇 食道堵塞;摇 返流;摇 误吸 中图分类号:R614郾2摇 摇 摇 文献标识码:A Application of Esophageal Jam鄄Drainage Skill During Induction of Anesthesia in Full鄄stomach Patients YUAN Xianghua,HE Tao,WUJianxin (Department of Anesthesiology,Loudi Central Hospital,Loudi,Hunan417000,China) Abstract:摇 Objective摇 To investigate thefeasibility of the Esophagealjam鄄drainage skill on prevention of regurgita鄄 tion and aspiration duringrapidsequenceinductionof general anesthesiainthepatientswithfull鄄stomachundergoingemer鄄 gency operation.摇 Methods摇 120full鄄stomachpatientsundergoinggeneralanesthesiaandemergencyoperationduringJan鄄 uary toJune2010wereenrolledinthestudygroup,andtheywereinsertedtheesophagusblockadetubetoclosetheiresoph鄄 agus before intubation in the induction of general anesthesia.The esophagus blockade tube interconnectedwith the air.148 caseswhohavehadrapidsequenceinductionintubatedwith SellickmanoeuvreduringJulyto December2009 wereenrolled in the control group.The complications such as vomiting,regurgitation,aspiration and other side effects were observed and