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经鼻气管插管全麻
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  anesthesia with nasotracheal intubation
     Conclusion Sedative amnestic slow induction anesthesia with nasotracheal intubation and timely extubation are effective measures in preventing perioperative death of OSAHS.
     结论镇静健忘慢诱导经鼻气管插管全麻,术后严格掌握拔管指征是预防OSAHS围术期死亡的有效措施。
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  “经鼻气管插管全麻”译为未确定词的双语例句
     Conclusion:Awake nasotracheal intubation combined with timely extubation were effective maneuvers in preventing perioperative death of OSAS.
     结论 :镇静健忘慢诱导经鼻气管插管全麻 ,术后严格掌握拔管指征是预防OSAS围术期死亡的有效措施
短句来源
     Methods sixty ASAⅠ-Ⅱ patients of both sexes scheduledfor awake nasotracheal intubation via FOB were randomly divided into 3 groups(n=20): group A,receiving only localanaesthesia;
     方法拟于清醒FOB引导下经鼻气管插管全麻的患者60例,随机分成3组:A组为表麻组;
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  相似匹配句对
     The airway management in tracheal intubation through nasal cavity
     气管插管的气道管理
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     Clinic Observation of the Reduced Stress Reaction of Compound Diprivan Intubated Nasotracheally in General Anesthesia
     全麻诱导复合异丙酚降低气管插管应激反应的临床观察
     Clinical Use of Artificial Nose in General Anesthesia by Tracheal Intubation
     人工气管插管全麻手术中的临床应用
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     The Care of Respiratory Failure Treated by Nasotracheal Intubation
     气管插管治疗呼吸衰竭患者的护理
短句来源
     Alterations of Gastrointestinal Propulsive Motility in Rats With Fulminant Hepatic Failure From Thioacetamide
     气管插管抢救重症呼吸衰竭体会
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Objective:To explore reasonable anesthetic management and deminish perioperative mortality of OSAS. Methods:Awake nasotracheal intubation of cocaine topical anesthesia combined with intraveneous drug sedation was applied to 142 patients (except one case with tracheotomy) receiving general anesthesia for UPPP,during which the patients were asleep but had spontaneous ventilation so they could breathe profoundly according to orders and help to be intubed actively by blind,under the direct laryngoscopy and using...

Objective:To explore reasonable anesthetic management and deminish perioperative mortality of OSAS. Methods:Awake nasotracheal intubation of cocaine topical anesthesia combined with intraveneous drug sedation was applied to 142 patients (except one case with tracheotomy) receiving general anesthesia for UPPP,during which the patients were asleep but had spontaneous ventilation so they could breathe profoundly according to orders and help to be intubed actively by blind,under the direct laryngoscopy and using fiberoptic laryngoscopy in different situation. Signs for extubation: Removed the tube after suction of the pharynx and endotrachea when the patients were entirely awake and SpO_2>90% with breathing air>10min. Results:141 cases nasotracheal intubation included 96 cases blind nasotracheal intubation and 32 cases under the direct laryngoscopy and 13 cases using fiberoptic laryngoscopy,some of which showed slightly respiratory depression during induction but SpO_2 was rapidly higher than 90% after mandatory breathing and oxygen inhalation by face mask. 23 cases were extubated after operation. 115 cases went back ward wearing tubes and were extubed after (10±6) h. 3 cases were tracheostomized at the end of the operation. 3 cases bled after operation,two with tubes and one without tube which suffered from acute respiatary obstrution. No case was dead. Conclusion:Awake nasotracheal intubation combined with timely extubation were effective maneuvers in preventing perioperative death of OSAS.

目的 :降低OSAS围术期死亡率 ,探求合理麻醉和管理。方法 :OSAS患者 14 2例 ,采用丁卡因表麻 +镇静健忘经鼻腔气管插管全麻 ,给予适度镇静催眠药物使患者嗜睡 ,保留自主呼吸 ,能按指令主动配合气管插管。先行盲插 ,失败后喉镜明视 ,估计插管困难直接用纤支镜导引 ,病情重者行气管切开。术后拔管指征 :患者意识完全清醒 ,吸空气 >10min ,SpO2 >90 % ,吸净气管、口腔内分泌物拔管。结果 :14 1例经鼻气管插管 ,1例气管切开 ,96例盲插成功 ,32例明视 ,13例纤支镜导引。诱导期有轻微呼吸抑制 ,经指令深呼吸和面罩吸氧后 ,SpO2 迅速 >90 % ,无一例诱导期发生险情。 2 3例术后 30min内拔管 ,115例带管回病房于术后 ( 10± 6 )h拔管 ,3例术后气管切开。 3例术后出血 ,其中 2例未拔管 ,1例拔管后 4 0min并发生急性呼吸道梗阻 ,经抢救脱离危险。全组无一例死亡。结论 :镇静健忘慢诱导经鼻气管插管全麻 ,术后严格掌握拔管指征是预防OSAS围术期死亡的有效措施

Objective To investigate the effects of esmolol combined with fentanyl on circulatory response tonasotracheal intubation via fiberoptic bronchoscope.Methods sixty ASAⅠ-Ⅱ patients of both sexes scheduledfor awake nasotracheal intubation via FOB were randomly divided into 3 groups(n=20): group A,receiving only localanaesthesia; group B fentanyl 2μ g/kg iv additionally;group C esmolol 1mg/kg iv more than group B. HR、SBP、DBPand MAP were measured at the time of baseline(T0)、immediately before intubation(T1)、intubation(T2)and...

Objective To investigate the effects of esmolol combined with fentanyl on circulatory response tonasotracheal intubation via fiberoptic bronchoscope.Methods sixty ASAⅠ-Ⅱ patients of both sexes scheduledfor awake nasotracheal intubation via FOB were randomly divided into 3 groups(n=20): group A,receiving only localanaesthesia; group B fentanyl 2μ g/kg iv additionally;group C esmolol 1mg/kg iv more than group B. HR、SBP、DBPand MAP were measured at the time of baseline(T0)、immediately before intubation(T1)、intubation(T2)and 1(T3)、3(T4)、5min(T5)after intubation.The side effects were also recorded.Results At T2、T3、T4,the HR and MAP values in group A were significantly greater than those in group C(P < 0.05~0.01); at T2、T3 ,the HR values in group B were significantly greater than those in group C(P < 0.05).The incidence oftachycardia in group A was 50%, group B 20%,group C 10%,there was significant difference between group A and groupC(P < 0.01).No severe hypotension and bradycardia was observed. Conclusion esmolol 1 mg/kg combined withfentanyl 2μg/kg can safely and effectively attenuate the circulatory response to nasotracheal intubation viafiberoptic bronchoscope。

目的观察艾司洛尔联合芬太尼对光导纤维支气管镜(FOB)引导经鼻气管插管病人循环反应的影响。方法拟于清醒FOB引导下经鼻气管插管全麻的患者60例,随机分成3组:A组为表麻组;B组为表麻+芬太尼2μg/kg组;C组表麻+芬太尼2μg/kg+艾司洛尔1mg/kg组。观察插管前后心率、收缩压、舒张压、平均动脉压的变化及不良反应。结果插管时及插管后A组心率和平均动脉压明显高于B和C组(P<0.05~0.01),B组心率明显快于C组(P<0.05)。A组患者有50%出现心动过速,而B组为20%,C组为10%,A与C组差异有统计学意义(P<0.01)。各组未出现严重心动过缓和低血压。结论艾司洛尔1mg/kg联合芬太尼2μg/kg可安全有效缓解FOB引导经鼻气管插管病人的心血管副反应。

Objective To explore rational anesthetic induction,way of tracheal intubation,and perioperative anesthetic management in order to lessen perioperative anesthetic risk and fatality of obstructive sleep apnea hypopnea syndrome(OSAHS).Methods Sedative amnestic slow induction anesthesia with nasotracheal intubation,cocaine topical anesthesia combined with intraveneous sedative drug was used in 198 patients receiving general anesthesia for uvulopalatopharyngoplasty,during which the patients were asleep but had autonomous...

Objective To explore rational anesthetic induction,way of tracheal intubation,and perioperative anesthetic management in order to lessen perioperative anesthetic risk and fatality of obstructive sleep apnea hypopnea syndrome(OSAHS).Methods Sedative amnestic slow induction anesthesia with nasotracheal intubation,cocaine topical anesthesia combined with intraveneous sedative drug was used in 198 patients receiving general anesthesia for uvulopalatopharyngoplasty,during which the patients were asleep but had autonomous respiration,so they could take a deep breathe by order and cooperate actively with blind intubation,which was changed to visualized intubation,under the direct laryngoscope and using fiberoptic laryngoscopy in difficult situation.Signs for extubation after operation: the tube was removed after clearing by suction the pharynx and trachea when the patients were entirely awake and SpO_2>93% with breathing air >15 min.Results 198 cases underwent nasotracheal intubation,including blind nasotracheal intubation in 140 cases,direct laryngoscopy in 11 cases,and fiberoptic laryngoscopy in 36 cases,some of whom showed slight respiratory depression during induction but SpO_2 was rapidly elevated over 93% after mandatory breathing and face-masked oxygen inhalation.191 cases were extubated 30 min after operation.Five cases went back to ward wearing tubes and were extubated after(6±2) h.Two cases were tracheostomized at the end of the operation.Three cases bled after operation,developed acute respiatory obstruction,and recovered after rescuing.None of the 198 patients was dead.Conclusion Sedative amnestic slow induction anesthesia with nasotracheal intubation and timely extubation are effective measures in preventing perioperative death of OSAHS.

目的探求合理安全的麻醉诱导、气管插管方式和围术期的麻醉管理,降低阻塞性睡眠呼吸暂停低通气综合征(OSAHS)围术期的麻醉风险及病死率。方法OSAHS患者198例,采用丁卡因表麻+镇静健忘经鼻腔气管插管全麻,给予适度镇静催眠药物使患者嗜睡,保留自主呼吸,能按指令主动配合气管插管。先行盲插,失败后喉镜明视,估计插管困难直接用纤支镜引导,病情重者行气管切开。术后拔管指征:患者意识完全清醒,吸空气>15 min,SpO2>93%,吸净气管、口腔内分泌物拔管。结果198例经鼻气管插管,1例气管切开,140例盲插成功,11例明视,36例纤支镜引导。诱导期有轻度呼吸抑制,经指令深呼吸和面罩吸氧后,SpO2迅速>93%,无1例诱导期发生险情。191例术后30 min内拔管,5例带管回病房于术后(6±2)h拔管,2例术后气管切开。结论镇静健忘慢诱导经鼻气管插管全麻,术后严格掌握拔管指征是预防OSAHS围术期死亡的有效措施。

 
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