title: [Study on clinical significances of the application of nasotracheal intubation guided with fiberbronchoscope to the postoperative patients with hypertensive intracerebral hemorrhage].
abstract: 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.
authors.affiliation: Department of Neurosurgery, The First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China.
authors.forename: Jian-jun
authors.initials: JJ
authors.lastname: Zhang
authors.forename: Xiao-feng
authors.initials: XF
authors.lastname: Yan
authors.forename: Wei-feng
authors.initials: WF
authors.lastname: Dong
authors.forename: Jun
authors.initials: J
authors.lastname: Zhang
authors.forename: Shun-jun
authors.initials: SJ
authors.lastname: Gu
authors.forename: Hong-fei
authors.initials: HF
authors.lastname: Xuan
authors.forename: Yun
authors.initials: Y
authors.lastname: Si
mesh_terms: 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