Brodsky J B, Macario A, Cannon W B, Mark J B
Department of Anesthesiology, Stanford University School of Medicine, California 94305, USA.
Anaesth Intensive Care. 1995 Oct;23(5):583-6. doi: 10.1177/0310057X9502300509.
A prospective analysis of placement of left-sided plastic double-lumen tubes in 100 patients is presented. Intubation of the left bronchus was successfully accomplished using only auscultation and clinical signs ("blind" placement) in 91 patients. Double-lumen tubes were positioned in less than five minutes in 84 patients. The most common problem encountered (30%) was initial intubation of the right main bronchus. Seven of these patients required bronchoscopic assistance to guide the tube into the left bronchus. There were four minor intraoperative complications due to DLT malposition that were recognized and corrected by withdrawing the tube slightly back in the bronchus. The plastic double-lumen tubes functioned properly during the procedure in all 100 patients.
本文对100例患者左侧塑料双腔管置入情况进行了前瞻性分析。91例患者仅通过听诊和临床体征成功完成左主支气管插管（“盲插”）。84例患者双腔管在5分钟内就位。最常见的问题（30%）是最初插入右主支气管。其中7例患者需要支气管镜辅助将导管插入左主支气管。有4例因双腔管位置不当导致的轻微术中并发症，通过将导管在支气管内稍微回撤得以识别和纠正。所有100例患者术中塑料双腔管功能均正常。
