喉罩通气在危重病例抢救中的应用  

Application of Laryngeal Mask in Rescuing Critical Patients

作　　者：付学明[1] 蒋思源[1] 左星[1] 

机构地区：[1]湖北省孝感市中心医院麻醉科,432100

出　　处：《中华全科医学》2011年第1期43-43,78,共2页Chinese Journal of General Practice

摘　　要：目的探讨在抢救急危重患者过程中,采用一种使用方便、操作简单、有效的人工通气方法。方法需行气管插管辅助呼吸治疗的院前和院内急危重患者86例,年龄22～78岁,按插管顺序单双序号随机均分为两组。L组:置入喉罩通气;T组:采用喉镜气管内插入气管导管。两组患者年龄、性别、体重组间比较差异无统计学意义。将两组病例作一对比分析,观察L组和T组置管成功情况及成功置管所需时间。结果两种方法均能对患者实施抢救,喉罩置入较气管插管成功所需时间明显缩短,一次性置管成功率L组较T组明显提高(P<0.05),L组一次性置管成功率为100%。结论喉罩能快速、有效建立人工气道,从而缩短患者缺氧时间,提高抢救成功率。Objective To investigate a Simply effective way to artificial airway in rescuing critical patients. Methods we selected 86 critical patients requiring the treatments with tracheal intubation, age from 22 to 78 years, and randomly divided into 2 groups：group L,with laryngeal mask;group T,with tracheal intubation under laryngoscope;there were no significant difference in age, gender and weight each group. The successful rate and the needed operation time of the intubation were compared. Results Both ways were successfully applied to rescue critical patients. The needed operation time of group L was shorter then that of group T;the once successful rate of intubation in group L was 100% and was obviously higher than that in group T（P 〈0.05）. Conclusion By using laryngeal mask we can rapidly and effectively establish the artificial airway, short the anoxia time, and improve the success rate of rescuing.

关 键 词：喉罩 抢救 人工通气 

分 类 号：R459.7[医药卫生—急诊医学]