呼气末二氧化碳监测在院前急救中应用的研究进展  

Research progress on the application of end-tidal carbon dioxide monitoring in prehospital emergency care

作　　者：马景涛 李仁宝 李琴 韩伟 Ma Jingtao;Li Renbao;Li Qin;Han Wei(Department of Emergency Medicine,Shenzhen University General Hospital,Shenzhen 518071,Guangdong,China;Shenzhen University Medical School,Shenzhen 518060,Guangdong,China)

机构地区：[1]深圳大学总医院急诊科,广东深圳518071 [2]深圳大学医学部,广东深圳518060

出　　处：《中华危重病急救医学》2024年第12期1340-1344,共5页Chinese Critical Care Medicine

基　　金：深圳市医疗卫生"三名工程"高层次医学团队项目(SZSM201911007)。

摘　　要：院前急救作为急危重症患者救治的首要环节,其高效、准确的监测手段直接关系到患者的生存率与预后质量。呼气末二氧化碳(EtCO_(2))监测技术作为一项即时性强且无创的检测手段,能够敏锐捕捉患者的呼吸、循环及代谢功能状态,尤其在紧急复杂的院前环境中,为快速决策与精准干预提供了宝贵依据。本文系统回顾了EtCO_(2)监测在脓毒症识别、创伤评估、心搏骤停、呼吸系统危重症监测、气管插管定位确认及代谢性疾病管理等多个领域的应用进展,旨在探讨其在院前急救中的应用价值和前景。Prehospital emergency care is the primary stage in the treatment of critically ill patients,where efficient and accurate monitoring methods are crucial for patient survival and prognosis.End-tidal carbon dioxide(EtCO_(2))monitoring is a real-time,non-invasive method that can sensitively capture the status of respiratory,circulatory,and metabolic functions,particularly in the urgent and complex pre-hospital environment,a immediate detection and non-invasive method,can sensitively capture the respiratory,circulatory,and metabolic status of patients.It provides valuable guidance for rapid decision-making and precise interventions.This is particularly valuable in the complex and urgent prehospital environment,providing critical data for rapid decision-making and precise intervention.This paper systematically reviews the advancements in the application of EtCO_(2)monitoring across various fields,including sepsis identification,trauma assessment,cardiac arrest,respiratory critical care,endotracheal intubation confirmation,and management of metabolic diseases,aiming to explore its application value and prospects in pre-hospital emergency care.

关 键 词：呼气末二氧化碳 院前急救 二氧化碳图 

分 类 号：R459.7[医药卫生—急诊医学]