急诊医务人员实施紧急气管插管对心肺复苏疗效的探讨  

Effect of emergency tracheal intubation on cardio-pulmonary resuscitation by the doctors and nurses

作　　者：张光发 林丽妍[1] 吴发萍[1] 陈锋[2] 

机构地区：[1]解放军第92医院急诊科,福建南平353000 [2]福建医科大学省立临床医学院福建省急救中心,350001

出　　处：《中国急救医学》2008年第10期931-933,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的总结心肺复苏时及时气管插管的重要性。方法对128例心肺复苏患者分为由急诊医护人员气管插管(即刻插管)与由麻醉科医师插管(延时插管)两组。通过观察复苏成功率与出院成活率,比较即时插管与延时插管的疗效。结果即时插管患者的复苏成功率为43.6%,存活率为34.8%,延时插管患者的复苏成功率为10.4%,存活率为6.3%。两组相比差异有统计学意义(P<0.01)。结论应提倡急诊医务人员在心肺复苏时紧急气管插管。Objective To study the importance of the emergency tracheal intubation （ITI} in cardio- pulmonary resuscitation （CPR）. Methods All the cases were divided into two groups so as to compare the successful rate of the CPR. One group （ 80 cases） was treated with the ITI by the doctors in the emergency department, the other group （48 cases） was the delayed ITI by anesthetists. Results The successful rate and the alive rate in the ITI group were significantly higher than those in the delayed ITI group （43.6% and 10.4%, P〈0.01; 34.8% and6.3%, P〈0.05）. Conclusions We should advocate the emergency ITI in CPR.

关 键 词：急诊医务人员 紧急气管插管 心肺复苏 预后 

分 类 号：R459.7[医药卫生—急诊医学]