[Study on clinical significances of the application of nasotracheal intubation guided with fiberbronchoscope to the postoperative patients with hypertensive intracerebral hemorrhage].
OBJECTIVE
To explore the clinical signification of the application of nasotracheal intubation guided with fiberbronchoscope to the postoperative patients with hypertensive intracerebral hemorrhage (HICH) who had respiration failure.


METHODS
Ninety-four postoprative patients with HICH were divided into two groups, A group treated with nasotracheal intubation and B group treated with tracheal incision. The oxygen metabolism, pulmonary complication incidence of two groups were analyzed and compared.


RESULTS
The basic oxygen metabolism and the need of mechanical ventilation in the cases with respiration failure were satisfying in two groups (both P>0.05). The mean reserved time of artificial airway in A group was(14.2+/-6.5)days, which in B group was(19.1+/-7.2)days (P<0.01). The occurent rates of combined infection in lung and double-infection were lower in A group than these in B group (56.3 percent vs. 91.3 percent, P<0.05; 10.4 percent vs. 39.1 percent, P<0.01; respectively), with their resident days shorter and prognosis better in A group than these in B group (P<0.05).


CONCLUSIONS
The nasotracheal intubation guided with fiberbronchoscope has small trauma, lower incidence of complication, which may be considered as a better selection for the postoperative patients with HICH who had respiration failure.
Zhang
Jian-jun
JJ
Department of Neurosurgery, The First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China.
Yan
Xiao-feng
XF
Dong
Wei-feng
WF
Zhang
Jun
J
Gu
Shun-jun
SJ
Xuan
Hong-fei
HF
Si
Yun
Y
D000368:Aged; D020680:Bronchoscopes; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D020299:Intracranial Hemorrhage, Hypertensive / Q000601:surgery*; D007442:Intubation, Intratracheal / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D011379:Prognosis; D012121:Respiration, Artificial