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困难插管
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  difficult intubation
     Application of fibroptic bronchoscope for difficult intubation in oral maxillofacial surgery
     纤维支气管镜在口腔颌面外科困难插管中的应用
短句来源
  difficult tracheal intubation
     Objective To evaluate the feasibility and value of the technique of a combination of backward and along guidance applied in patients with difficult tracheal intubation.
     目的 探讨逆 顺联合引导法用于困难插管的可行性及临床应用价值。
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  “困难插管”译为未确定词的双语例句
     Results:The results showed that 736 cases(73.5%) were intubated within 10 minutes,212 cases(21.2%)within 11~20minutes and 45 cases(4.5%) within 21~30 minutes and only 7 patients(0.8%) were obliged to receive tracheostomy.
     结果 :在 10 0 0例患者中 10min内顺利完成插管占 73.5 % ,11~ 2 0min内完成的较困难插管占 2 1.2 % ,2 1~ 30min完成的困难插管占 4 .5 % ,气管切开后插管仅占 0 .8%。
短句来源
     The results showed that 3119 cases(73 5%) were intubated within 10 minutes, 873 cases(21 2%)within 11 ̄20 minutes and 185 cases(4 5%) within 21 ̄30 minutes and only 33 patients(0 8%) were obliged to be applied tracheostomy.
     在随机抽取的1000例患者中10min内顺利完成插管占73.5%,11~20min内完成的较困难插管占21.2%,21~30min完成的困难插管占4.5%,气管切开后插管仅占0.8%。
短句来源
     ? Methods In the 48 ASA Ⅰ~Ⅲ patients requiring general anaesthesia, 34 cases of tracheal intubation were classified as Mallampati grade Ⅲ, 6 as grade Ⅳ,and 8 as no difficulty.
     方法48例需全身麻醉气管插管的成年患者,ASAⅠ~Ⅲ级,其中Mallampati困难插管评估Ⅲ级者34例,Ⅳ级6例,术前估计为非困难插管者8例。
短句来源
     Methods Forty patients were randomly divided into two groups(F and R),each group contained 20 cases.
     方法40例困难插管患者随机均分F组、R组,各20例。
短句来源
     Method: 32 patients with predictably difficult airways were divided into two groups randomly. Group A: After intravenous injection of midazolam and superficial anesthesia from nasal cavity to tracheary with 1% dicaine 5ml and 2% lidocaine 10ml,nasal fiberoptic intubation was carried out.
     方法:将32例有困难插管指征的患者随机分为两组,一组(表面麻醉组)以咪唑安定2mg注射,再以1%丁卡因5ml和2%利多卡因10ml作鼻腔至气管的表面麻醉;
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  相似匹配句对
     Disposal of Difficult Fracheal Intubation
     困难气管插管的处理
短句来源
     The Summarization of Clinical Experience of Difficult Tracheal Intubation
     困难气管插管的临床经验总结
短句来源
     Train the method of trachea intubation;
     精练插管方法 ;
短句来源
     (3)The difficulty of the controlling bleeding;
     (3)止血困难 ;
短句来源
     defficulty in diagnosing.
     鉴别诊断困难.
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  difficult intubation
Emergency ventilation using the Combitube in cases of difficult intubation
      
Esophageal tracheal combitube overcomes difficult intubation: flexion deformity of the cervical spine due to rheumatoid arthriti
      
Also, preparation for difficult intubation was done.
      
Among the classic risk factors for difficult intubation, only a Mallampati score of III or IV is a risk factor in obese patients.
      
A drying agent is helpful if a difficult intubation is anticipated.
      
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  difficult tracheal intubation
Translaryngeal tracheostomy through the intubating laryngeal mask airway in a patient with difficult tracheal intubation
      
Growth causes difficult tracheal intubation in a patient with Kniest dysplasia
      
Another limitation of our results was the small sample used to identify the risk factors for difficult tracheal intubation in obese patients.
      
Difficult tracheal intubation secondary to a tracheal diverticulum and a 90 degree deviation in the trachea.
      
In a second step, a univariate analysis was performed to determine the risk factors for difficult tracheal intubation in the obese patients alone.
      
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There was a controversy about the differences of cardiovascular side effects induced by conventional laryn-goscopy (CD and fibreoptic laryngoscopy (FL). Thirty surgical patients were allocated to three groups. Group I , undifficult intubation by preoperative assessment, was intubated using CL. Group I , undifficult intubation cases. and group I . difficult intubation cases were intubated using FL. Cardiovascular systems were monitored in all patients. The results show that all groups produced strong cardiovascular...

There was a controversy about the differences of cardiovascular side effects induced by conventional laryn-goscopy (CD and fibreoptic laryngoscopy (FL). Thirty surgical patients were allocated to three groups. Group I , undifficult intubation by preoperative assessment, was intubated using CL. Group I , undifficult intubation cases. and group I . difficult intubation cases were intubated using FL. Cardiovascular systems were monitored in all patients. The results show that all groups produced strong cardiovascular responces to tracheal intubation, especially group II. Our study indicates that FL could produce the same cardiovascular effects as the CL in undifficult intubation cases. The stronger circulatory changes induced by FL in difficult intubation patients may be related to the prolonged intubation procedure.

30例外科手术病人,分为三组。Ⅰ组为普通喉镜顺利气管插管,Ⅱ组为光导纤维喉镜顺利插管组,Ⅲ组为光导纤维喉镜困难插管组。结果表明:三组病人插管时均可引起剧烈的心血管反应,但变化幅度以Ⅲ组最大。本文提示,与普通喉镜相比,光导纤维喉镜用于并无困难插管的病人引起的心血管反应相似,而用于困难插管的病人也可产生严重的心血管反应,可能与插管困难的病人暴露困难致使插管时间较长或刺激强度增大有关。

The effects of 4120 cases with blind nasotracheal intubation under anesthesia were analyzed. The results showed that 3119 cases(73 5%) were intubated within 10 minutes, 873 cases(21 2%)within 11 ̄20 minutes and 185 cases(4 5%) within 21 ̄30 minutes and only 33 patients(0 8%) were obliged to be applied tracheostomy. There were neither obvious adverse effects of the cardiovascular system during intubation nor postoperative memory of the intubation operations in all patients. The results suggest that blind nasotracheal...

The effects of 4120 cases with blind nasotracheal intubation under anesthesia were analyzed. The results showed that 3119 cases(73 5%) were intubated within 10 minutes, 873 cases(21 2%)within 11 ̄20 minutes and 185 cases(4 5%) within 21 ̄30 minutes and only 33 patients(0 8%) were obliged to be applied tracheostomy. There were neither obvious adverse effects of the cardiovascular system during intubation nor postoperative memory of the intubation operations in all patients. The results suggest that blind nasotracheal intubation is a useful technique in maxillofacial surgery.

安定镇痛麻醉下经鼻盲探气管内插管应用于4120例颌面部各类手术麻醉。在随机抽取的1000例患者中10min内顺利完成插管占73.5%,11~20min内完成的较困难插管占21.2%,21~30min完成的困难插管占4.5%,气管切开后插管仅占0.8%。插管期间患者无明显不适反应,术后无回忆,心血管副效应轻,患者易接受。此方法有效地解决了颌面手术许多疑难插管问题

Objective To summarize our experiences and lessons of difficult tracheal intubation for clinical anesthesia reference. Methods We had done a retrospective analysis of clinical data on difficult tracheal intubation in 2 825 patients undergoing elective plastic surgery with anesthesia. The main causes of difficult tracheal intubation were the limitations of neck extension (n= 1 169 ), mouth opening (n=889), both neck extension and mouth opening (n=698), and micromaxillary deformity (n=69). By the Cormack′s...

Objective To summarize our experiences and lessons of difficult tracheal intubation for clinical anesthesia reference. Methods We had done a retrospective analysis of clinical data on difficult tracheal intubation in 2 825 patients undergoing elective plastic surgery with anesthesia. The main causes of difficult tracheal intubation were the limitations of neck extension (n= 1 169 ), mouth opening (n=889), both neck extension and mouth opening (n=698), and micromaxillary deformity (n=69). By the Cormack′s classification, all the patients had the laryngeal exposure of grade Ⅱ or more. The tracheal intubations were done under neuroleptanalgesia combined with topical spray of local anesthetic in 439 patients, intravenous anesthesia of sedative drugs and nondepolarizing relaxants of subnormal doses in 629 subjects, and total intravenous or inhaled anesthesia in 1 757 cases, respectively. Results The difficult tracheal intubations were completed using blind nasal intubations in 142 patients, blind oral intubations with direct laryngoscope in 2 377 patients, oral intubations with fiberoptic stylet rigid laryngoscope in 186 patients, and oral or nasal intubations with flexible fiberoptic bronchoscope in 72 patients. The incidence of successful intubation was 99.7%. The common complication of intubation was airway trauma and its incidence was 19.3% in all the patients. Anesthetic techniques could affect significantly the intubation time and the incidences of complications in the patients with difficult intubation. Conclusions By the improvement of anesthetic methods and common intubation techniques, the intubation time and the incidence of complications in the patients with difficult intubations were reduced.

目的 总结困难气管插管的经验和教训 ,为临床麻醉提供借鉴。方法 回顾性分析 2 82 5例施择期整形外科手术患者困难气管插管的临床资料。造成困难插管的原因有 :头后仰活动受限 (116 9例 ) ,张口活动受限(889例 ) ,头后仰活动受限复合张口活动受限 (6 98例 )和小颌畸形 (6 9例 )。全部患者的喉头显露均为 级或 级以上。其中 439例采用神经安定镇痛 -口咽表面麻醉 ,6 2 9例采用静脉麻醉药镇静 -小剂量肌松药麻醉 ,175 7例采用全静脉或吸入麻醉。结果  142例采用盲探经鼻插管 ,2 377例采用直接喉镜经口盲探插管 ,186例采用纤维光导硬喉镜经口插管 ,72例采用纤维支气管镜完成插管。插管成功率为 99.7%。最常见的插管合并症为气道损伤 ,发生率为19.3%。麻醉方法和插管时间及合并症的发生率具有明显相关性。结论 通过改良麻醉方法和常用的气管插管技术 ,缩短了困难插管患者的插管时间 ,降低了并发症的发生率 ,提高了医疗质量

 
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