药物中毒危重患者抢救50例分析  

Analyses of Rescuing 50 Critical Cases with Drug Poisoning by Laryngoscope of Supplying Spurt Oxygen and Drug Administration

作　　者：孙适[1] 季先友[1] 王菊[1] 张丽萍[1] 

机构地区：[1]哈尔滨医科大学附属第五医院急诊科,黑龙江大庆163316

出　　处：《中国伤残医学》2012年第1期17-19,共3页Chinese Journal of Trauma and Disability Medicine

基　　金：黑龙江省卫生厅2010年度科技计划课题(编号:2010-222)

摘　　要：目的:评价急救麻醉咽喉镜下气管插管和洗胃术应用药物中毒危重患者的疗效和价值。方法:对50例药物中毒危重患者随机分成2组,第I组采用供应喷氧给药急救麻醉咽喉镜下气管插管和洗胃术,第II组使用进行普通咽喉镜进行双管术,2组同时配合应用其他解毒药物和呼吸机等辅助手段治疗。结果:第I组供应喷氧给药急救麻醉咽喉镜优于第II组普通麻醉咽喉镜的疗效,前者比后者缩短插管时间(P<0.05),提高插管成功率(P<0.05),降低药物中毒危重患者死亡率及并发症(P<0.05)。结论:供应喷氧给药急救麻醉咽喉镜下进行气管插管和洗胃术同时给予呼吸机和抢救药物辅助抢救中毒危重患者的疗效显著,可有效预防呼吸衰竭或呼吸停止,纠正严重乏氧,有助于改善患者预后。Objective： To evaluate the therapeutic effectiveness and value of applications of endotracheal intubation and gastrolavage to critical cases with drug poisoning under laryngoscope of supplying spurt oxygen and drug administration. Methods： 50 cases were randomly divided into 2 groups. In group I Endotracheal intubation and gastrolavage were carried out under laryngoscope of supplying spurt oxygen and drug administration, meanwhile with the other antidotes and breathing machine aid to cure them. In group II, they were conducted under common laryngoscope with the same aid methods to treat patients.Results： Laryngoscope of supplying spurt oxygen and drug administration is superior to common laryngoscope. The former＇ s time of intubation tube is shortened （P〈0.05） than the latter＇ s, improve the rate of successes （P〈0.05） and reduce the rate of death and complications （P〈0.05）.Conelusions： Healing efficacy of endotracheal intubatuin and gastrolavage under laryngoscope of supplying spurt oxygen and drug administration is rather remarkable. No complications of serious prosthesis happened. Serious correction lack of oxygen, respiratory failure and even reparatory stop can be effectively protected. Patients＇ prognoses are improved.

关 键 词：供应 喷氧 给药 咽喉镜 

分 类 号：R135[医药卫生—劳动卫生]