Abakumov M M, Mironov A V, Timerbaev V Kh, Kreĭmer V D, Borovkova T F, Berkalov M Iu
Vestn Khir Im I I Grek. 2000;159(1):61-3.
The article presents the results of performing endoscopic intubation of the trachea under emergency situations in patients and victims of traumatic and pyo-inflammatory alterations of organs and tissue of the neck. The technique of the trachea intubation is described. It was noted that in such patients there appear serious problems during the intubation of the trachea by the method of direct laryngoscopy which are due to considerable disturbances of the anatomo-topographic interrelations of the organs, marked edema of the tissues and by the presence of the pathological content in the lumen of the oro- and laryngopharynx. The trachea intubation performed under the control of vision with the help of a bronchofibroscope allows to avoid additional traumatization of the tissue of the oro- and laryngopharynx, to rapidly introduce the endotracheal tube into the trachea without hypoxia, to perform sanitation of the oral cavity, pharynx and the tracheobronchial tree.
本文介绍了在颈部器官和组织遭受创伤及脓性炎症改变的患者和受害者的紧急情况下进行气管内镜插管的结果。文中描述了气管插管技术。值得注意的是,在这类患者中,通过直接喉镜法进行气管插管时会出现严重问题,这是由于器官的解剖-地形学相互关系受到严重干扰、组织明显水肿以及口咽和喉咽腔内存在病理内容物所致。借助支气管纤维镜在直视控制下进行气管插管,可避免对口咽和喉咽组织造成额外创伤,在无缺氧的情况下迅速将气管导管插入气管,对口腔、咽部和气管支气管树进行清洁。