气管镜麻醉课件

瘤? ——肺减容РReported mortality rats and incidences of plication associated with fibreoptic bronchascopyРReferenceРMortality rats(%)Рplications(%)РNo ofРCredle 1974’Р0.01Р0.08Р24521РSuratt 1976’Р0.02Р0.30Р48000РPereira 1978’Р0.10Р1.7Р908РDreison 1978’Р0.50Р5Р205РLukowsky 1981’Р0.00Р0.30Р1146РSimpson 1986’Р0.04Р0.12Р4000РM P Shelley,etc.Thorax.1989 October,44(10):769-775Р气管镜检查、治疗总体情况Рincidence plicationРcomplicationРRate(%)Рlocal anaesthesiaР0.3-0.5РhypoxiaemiaР0.2-21РarrhythmiaР1-10Рpost-biopsy bleedingР0.12-7.5Рpneumothorax or pneumomediastinumР1-6РfeverР0.9-2.5РdeathР0.1-0.2РGeraci G, Ann Ital Chir. 2007 May-Jun;78(3):183-92.Рlast 30 yrs , from 1974 to 2006, On 107969 bronchoscopiesРto31Р麻醉与气管镜发展Р20世纪中叶,麻醉技术水平限制了硬质气管镜的发展? 其它原因:软镜的出现与迅速发展Р麻醉技术、安全性提高,1981年起硬质气管镜重新受到重视? 其它原因:操作孔大的优点? 气管内介入治疗的兴起