急诊困难气道开放技术进展  

Advances in emergency airway opening techniques

作　　者：王伟琴[1] 徐海洲[1] 吴建平 秦燕 周云庆 何建[4] 

机构地区：[1]第二军医大学长海医院急诊科,上海200433 [2]欧阳路街道社区卫生服务中心 [3]曲阳路街道社区卫生服务中心 [4]第二军医大学东方肝胆外科医院急诊科

出　　处：《临床急诊杂志》2017年第3期237-240,共4页Journal of Clinical Emergency

基　　金：基金项目 喉罩与股静脉穿刺技术在社区急救中的应用与推广(No:SHDC12014232);构建AHA培训体系提高规培生高级生命支持能力的研究(No:CHJG2015015)

摘　　要：急诊气道最重要的特点是紧急和不可预见性,人工紧急开放气道保证患者通气与氧合良好是急诊医师需掌握的基本技能,对急诊危重症患者的抢救有相当重要的价值。一项评估困难气道及困难插管的临床研究表明其发生率高达3.2%。然而,急诊患者往往病情危重,常不能配合,气道分泌物多,甚至有各种创伤合并颈部损伤患者等,这些情况均可增加插管困难,或导致插管失败。The most important characteristic of emergency airway is its urgency and unpredictability. It is basic skillset for emergency physicians to ensure that the ventilation and oxygenation is good,which is of great val- ue for patients with critical illness. A clinical study of difficult airway and difficult intubation showed that the inci- dence rate was as high as 3.2 %. However, emergency patients are often in critical condition, they sometimes can not cope with the airway secretion,and even a variety of trauma patients have neck injury. These conditions can in- crease the difficulty of intubation or the chances of intubation failure. In recent years, many scholars at home and a- broad have done a great deal of research on the commonly used airway opening techniques in emergency. The fol- lowing article reviews the common techniques used in emergency airway opening.

关 键 词：急诊 困难气道 气管插管 

分 类 号：R459.7[医药卫生—急诊医学]