气管插管前面罩加压预充纯氧对重症患者并发呼吸衰竭预后影响  

Oxygen Mask Pressurization to Full Oxygen Ahead of Intubating to the Severe Patients had Respiratory Failure on Prognosis

作　　者：张历[1] 何亚东[1] 侯世敏[1] 

机构地区：[1]贵州省遵义市遵义医院重症监护病房,遵义563002

出　　处：《临床急诊杂志》2004年第4期19-20,共2页Journal of Clinical Emergency

摘　　要：目的:探讨气管插管前面罩加压预充纯氧对重症患者并发呼吸衰竭预后的影响。方法:采用对比研究,设置对照组(A组)和观察组(B组)。A组为危重病人并发呼吸衰竭达插管指征后即刻气管插管者;B组先予面罩加压给纯氧,待血氧饱和度达80%～90%以上时再行气管插管。在插管过程中监测血氧饱和度,随时给氧,保持血氧饱和度在70%～80%以上。结果:A组插管过程中心律失常发生率明显高于B组;A组后期MODS发生率、病死率高于B组。结论:气管插管前预充纯氧能降低插管过程中的不良反应,提高复苏质量,改善预后。Objective:To investigate on prognosis of the oxygen mask pressurization to full oxygen ahead of intubating to the severe patients had respiratory failure. Methods:To use comparison and set up the control group(A) and the observation group (B).A was the severe patients had respiratory failure with the intubation standard.The intubating immediately. B was firstly oxygen mask pressurization with full oxygen,when SpO-2 was above eighty percent to ninety percent to intubate.To watch out SpO-2 and give oxygen at time during intubating,and kept SpO-2 above 70% to 80%. Results:The cardiac arrthythmias was higher in A group than B group during intubation. An increase MODS in A group than in B group indicated a worsening of the patients condition. Conclusion:Full oxygen ahead of intubation could reduce the harmful effect during intubation,and improve the quality of consciousness,improve prognosis.

关 键 词：气管插管 前面罩加压预充纯氧 呼吸衰竭 预后 并发症 

分 类 号：R563.8[医药卫生—呼吸系统]