| 隋峰郑悦刘薇赵松张贵辰宋阳李文雄.气囊漏气实验预测严重上气道狭窄的临床意义[J].,2012,12(24):4673-4676 |
| 气囊漏气实验预测严重上气道狭窄的临床意义 |
| The Clinical Significance of Cuff leak Test to Identify Severe UpperAirway Stenosis |
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| DOI： |
| 中文关键词: 气囊漏气实验 气管插管 气道梗阻 |
| 英文关键词: Cuff leak test Upper airway obstruction Endotracheal intubation |
| 基金项目: |
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| 中文摘要: |
| 目的：观察气囊漏气实验预测拔管后发生严重上气道梗阻的临床价值。方法：共有156 例气管插管患者入组，根据气囊漏气
实验的情况分为两组，阴性组和阳性组，拔除气管插管后观察两组喘鸣发生与二次气管插管情况。结果：156 例患者中气囊漏气实
验阴性组125 例，阳性组31 例，拔除气管插管后，有13 例患者需再次插管，其中1 例患者无法插管，予经皮气管切开。结论：气囊
漏气实验是一项简单方便筛查拔管后可能上气道梗阻的方法，如为阴性其因严重上气道梗阻再插管可能性很小，如为阳性则要
注意可能发生拔管后上气道梗阻。 |
| 英文摘要: |
| Objective: To observe the value of cuff leak test to predict the severe airway obstruction after extubation. Methods: A
total of 156 patients with tracheal intubation were enrolled. According to cuff leak test, they were divided into negative group and positive
group. We observed the occurrences of stridor and reintubation after extubation. Results: There were 125 cases in the negative group
and 31 cases in the positive group. After extubation, 13 patients required reintubation, including 1 case of percutaneous tracheostomy because
of failure to endotracheal reintubate. Conclusion: The cuff leak test is a simple and useful tool to screen the occurrences of airway
obstruction after extubation. The possibility of severe airway obstruction is very small in negative group. We must pay attention to the
positive group because of the high rate of reintubation. |
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