院内抢救性气管插管1276例分析  

Analysis of 1276 cases of emergency tracheal intubation in hospital

作　　者：李瑛[1] 黄冰[1] 孙建良[1] 孙磊[1] 罗永香[1] 俞彩明[1] 俞丹红[1] 

机构地区：[1]浙江省嘉兴市第一医院麻醉科,314000

出　　处：《中国急救复苏与灾害医学杂志》2008年第11期676-678,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的分析影响院内抢救性气管插管的相关因素,以期提高复苏成功率。方法回顾分析我院2005年1月～2007年12月间1276例院内抢救性气管插管患者的分布特点与年龄构成、插管原因(病因)和插管经过。结果须抢救性气管插管患者以急诊科(35.91%)和ICU病房(23.67%)为多。与院内其他病房相比,急诊科患者年龄轻(58.64±22.61岁vs63.72±19.34岁)、可救性强(创伤、淹溺、中毒、心脑血管意外占58.90%,而各病房中疾病终末期患者却占65.70%)。麻醉医生赶到插管地点的平均时间为(3.8±2.5)min,89.03%的患者能顺利经口明视插入气管导管,牙关紧闭开口困难者可改为经鼻盲探插入。结论急诊科不仅占了院内抢救性插管患者总数的最大份额,且其患者年龄轻,抢救价值大。若急诊科医师能掌握气管插管技术,可省却麻醉医生从麻醉科赶到急救现场的过程和时间。Objective To investigate the relative factors of emergency tracheal intubations performing outside the operation room. Methods A retrospective analysis of 1276 cases emergency tracheal inmbations was performed between January 2005 and December 2007 in Jiaxing First Hospital. Resu Its Outside the operation room, the main cases of emergency intubation were in the emergency department （35.91%）and the ICU （23.67%）respectively. There was a significant difference in the ages （P〈0.05） between emergency room and general wards. The average time that the anesthesiologists started to perform intubations was （3.8 ±2.5） rain. Direct vision trans-oral intubation could be routinely accomplished in 89.03%, the others such as mouth stiffness difficult to open the mouth finally succeeded by trans-nasal intubations. Conclusion The patients from emergency department are not only the main fraction of the total emergency incubations outside operation room, but also have more valuable of cardiopulmonary resuscitation. Performing incubation by emergency physicians can earn valuable time for patients. The role of non-anesthesiologists in acute airway management is significant.

关 键 词：气管插管 医院内 心肺复苏 

分 类 号：R459.7[医药卫生—急诊医学]