气管内滴注肾上腺素抢救小儿心跳呼吸骤停  

Endotracheal instillation of epinephrine in CPR in children

作　　者：胡娟娟[1] 赵巧云[1] 苏宇飞[1] 

机构地区：[1]西安市儿童医院,陕西西安710003

出　　处：《中国妇幼健康研究》2008年第1期78-79,共2页Chinese Journal of Woman and Child Health Research

摘　　要：目的观察经气管内滴注肾上腺素抢救小儿心跳、呼吸骤停的效果，探讨提高抢救小儿心肺复苏成功率的治疗方法。方法32例心跳、呼吸骤停的患儿随机分为气管内滴注肾上腺素组（实验组）和常规抢救组（对照组）。实验组气管插管并气管内滴注肾上腺素0．1mg／kg，对照组静推肾上腺素0．01～0．02mg／kg，观察两组儿童复苏成功率。结果实验组复苏成功率为62．5％，明显高于对照组的25．0％。两组儿童复苏有效率比较有显著性差异， x^2=4．57，P=0．033〈0．05。结论抢救小儿心跳、呼吸骤停时经气管插管、气管内给药能有效提高心肺复苏成功率。Objective To observe effect of endotracheal epinephrine instillation in cardiopulmonary resuscitation（CPR） in children, and to explore effective treatment to increase success rate of cardiopulmonary resuscitation in children. Methods Thirty-two patients with eardiopulmonary arrest were randomly divided into the control group and the experimental group （ in each group, n = 16）. The children in the control group were intravenously injected epinephrine with a dose of 0.01 -0.02 mg/kg and other 16 children in the experimental group were instilled epinephrine （0. 1mg/kg） after endotracheal intubation through an endotracheal tube. Results The success rate in the experimental group was 62.5% ,which was significantly higher than 25.0% in the control group. Conclusion Endotracheal intubation and endotracheal epinephrine instillation can improve the success rate of CPR effectively.

关 键 词：气管插管 气管内给药 肾上腺素 心肺复苏 

分 类 号：R720.597[医药卫生—急诊医学]