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华西医学  2013 

食管引流型喉罩的临床应用进展

DOI: 10.7507/1002-0179.20130153, PP. 473-477

Keywords: 食管引流型喉罩,双管喉罩,Proseal喉罩,Supreme喉罩,I-gel喉罩

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Abstract:

食管引流型喉罩又称为双管喉罩,为第三代喉罩。目前临床上广泛应用的食管引流型喉罩包括3种Proseal喉罩,在Proseal喉罩基础上加以改进的Supreme喉罩以及无套囊的I-gel喉罩。食管引流型喉罩的主要特点为增加了一根对胃肠道起到密封和引流作用的引流管,并对通气罩进行了改进。因此食管引流型喉罩具备防止返流误吸的作用,并改善了通气功能。目前,食管引流型喉罩除了广泛应用于全身麻醉下成人、儿童的短小体表和四肢手术,还进一步应用到腹腔镜手术、腹部外科开放性手术、肥胖患者的手术、困难气管等领域。其应用的有效性和安全性大大提高,将逐渐取代普通喉罩。本文就食管引流型喉罩的应用进展作一综述,便于临床医生更方便、更快捷的掌握食管引流型喉罩使用技术,并在临床上进一步推广。

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