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目的 :探讨纤维支气管镜 (纤支镜 )在机械通气患者中的应用前景。方法 :应用Swiveladapter使患者在机械通气时不用脱机即可行纤支镜检查以及纤支镜帮助下进行气管导管更换。结果 :3 5例机械通气患者行 61次纤支镜检查 ,成功率达 10 0 % ,包括对气道分泌物的清除、肺炎病原学的诊断、气道的建立和咯血的诊断和处理。结论 :纤支镜对机械通气患者是一种安全、简便有效的方法 ,有广泛的应用价值。
Objective: To explore the application prospect of bronchofiberscopy in patients with mechanical ventilation. METHODS: Swiveladapter was used to allow patients to undergo endoscopic bronchoscopy and bronchoscopy with the help of a bronchial tube without the need to go offline during mechanical ventilation. Results: Twenty-five bronchofiberscopy was performed in 35 cases of patients with mechanical ventilation, with a success rate of 10%, including clearance of airway secretions, diagnosis of pneumonia, establishment of airway and diagnosis and treatment of hemoptysis. Conclusion: Bronchofiberscope is a safe, simple and effective method for patients with mechanical ventilation and has a wide range of applications.