急诊经口明视下气管插管183例临床分析  

Clinical analysis of 183 patients with emergency orotracheal intubation

作　　者：吴清 Wu Qing(The Fifteenth People's Hospital of Zhengzhou City 450041)

机构地区：[1]郑州市第十五人民医院,450041

出　　处：《中国社区医师》2016年第14期41-42,共2页Chinese Community Doctors

摘　　要：目的:探讨迅速建立人工气道在急诊抢救中的重要意义,分析成功与不足,以期提高急救水平。方法:收治急诊科符合气管插管指征、需紧急经口明视下气管插管的患者183例,判断气管插管成败。结果:气管插管成功率88.52%,抢救成功率40.96%。4 min内1次插管成功108例,2次插管成功39例,3次插管成功15例。插管失败21例,失败率11.48%。出现插管并发症35例。结论:加强急救人员的急救技术培训,同时进行喉镜的技术改进,可大大提高插管成功率及抢救成功率,减少插管并发症的发生。Objective:To discuss the important significance of the rapid establishment of artificial airway in emergency rescue,analyze the success and deficiency,in order to improve the level of emergency treatment.Methods:183 patents met trachealintubation indication,need to be treated by orotracheal intubation in the department of emergency were selected,we judged thesuccess or failure of tracheal intubation.Results:The tracheal intubation success rate was 88.52% ,the rescue success rate was40.96%.Once intubation succeed in 108 patients,twice intubation succeed in 39 patients,third intubation succeed in 19 patients in4 minutes.Intubation failed in 21 cases,the failure rate was 11.48% ,complications occurred in 35 cases.Conclusion:Strengthenemergency personnel emergency technical training, at the same time improve laryngoscope technical can greatly improve thesuccess rate of intubation and the rescue success rate,reduce the incidence of complications of intubation.

关 键 词：人工气道 经口明视下 气管插管 成功率 

分 类 号：R459.7[医药卫生—急诊医学]