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[改良型麦吉尔钳]

[The modified Magill forceps].

作者信息

Ehrensperger C, Gross J, Hempel V, Henn-Beilharz A, Rau A

机构信息

Abteilung für Anästhesie und Intensivmedizin, Städtisches Krankenhaus Sindelfingen.

出版信息

Anaesthesist. 1992 Apr;41(4):218-20.

PMID:1590578
Abstract

The Magill forceps are used for nasotracheal intubation, endotracheal suctioning, passing gastric tubes, placement of tampons in the nasopharynx and extraction of foreign material from the pharynx. There are several disadvantages of the standard Magill forceps; however: the danger of cuff perforation, the necessity of readjusting the forceps when placing a tube or catheter, and the risk of injury to the mucous membrane. For these reasons the standard Magill forceps have been modified: the jaws of the forceps have been changed to give curved atraumatic parts without any serrations or sharp edges. RESULTS. The resulting benefits are as follows: Reduced risk of injuring the mucous membrane and perforating the cuff. Tubes and catheter are safely guided between the semiround jaws, making it unnecessary to open the forceps repeatedly to advance the tube. Tampons being placed in the throat no longer get caught between the serrations, and even small foreign objects can easily be extracted from the pharynx.

摘要

麦吉尔钳用于经鼻气管插管、气管内吸引、插入胃管、在鼻咽部放置棉塞以及从咽部取出异物。然而,标准麦吉尔钳存在几个缺点:有袖带穿孔的风险、放置导管时需要重新调整钳子以及有损伤黏膜的风险。由于这些原因,标准麦吉尔钳已被改进:钳口已改为弯曲的无创伤部分,没有任何锯齿或尖锐边缘。结果。产生的益处如下:降低了损伤黏膜和袖带穿孔的风险。导管可在半圆形钳口之间安全引导,无需反复打开钳子来推进导管。放置在喉部的棉塞不会再卡在锯齿之间,甚至小的异物也能轻松从咽部取出。

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