帝视内窥镜引导双腔支气管导管插管在纵隔肿瘤切除手术中的应用

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Abstract [Abstract]Objective To observe the application clinical effect of double-lumen tracheal tube intubation guided by Discopo in the mediastinal tumor resection.Methods Thirty patients with mediastinal tumor resection in our hospital from January 2017 to December 2018 were selected as the research subjects，and they were divided into the Discopo group（group D）and the GlideScope video laryngoscope group（group G）according to the random number table method，15 cases in each group.The patients in group D were guided by Discopo for intubation，and the patients in group G were assisted by video laryngoscope.The intubation time，the success rate of one intubation，the positioning time，and the hemodynamic indicators（mean arterial pressure [MAP]，heart rate [HR]）before anesthesia induction（T1），after anesthesia induction（T2），immediate successful intubation（T3），and 5minutes after intubation（T4）were compared between the two groups.Results There were no significant differences in MAP and HR at T1 and T2 between the two groups（P＞0.05）.The MAP and HR in the two groups at T2，T3，and T4 were lower than those at T1，and the differences were statistically significant（P＜0.05）.The MAP and HR at T3 and T4 in group D were lower than those in group G，and the differences were statistically significant（P＜0.05）.There was no significant difference in the success rate of one intubation between the two groups of patients（P＞0.05）.The intubation time and positioning time were shorter in group D than those in group G，and the differences were statistically significant（P＜0.05）.Conclusion The intubation time of doublelumen tracheal tube intubation guided by Discopo is short，and the impact on the cardiovascular system of patients is small when intubating.

Key words： Mediastinal tumor resection Discopo Double-lumen tracheal tube intubation

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