| 傅恩清1 韩丽春2 刘春丽1 刘同刚1 楚东岭1 孙亚妮1 金发光1 孙绪德2.经支气管镜气管插管与常规气管插管救治呼吸衰竭对比分析[J].,2006,6(7):41-42 |
| 经支气管镜气管插管与常规气管插管救治呼吸衰竭对比分析 |
| Comparing the effect of tracheal intubation through fibrobronchoscopywith the effect of routine tracheal intubation on treating respiratory failure |
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| DOI： |
| 中文关键词: 气管插管 纤维支气管镜 治疗 呼吸衰竭 |
| 英文关键词: Tracheal intubation Fibrobronchoscopy Treating Respiratory failure(RF) |
| 基金项目: |
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| 中文摘要: |
| 目的:回顾性分析呼吸机辅助呼吸救治危重呼吸衰竭患者气管插管方式对于救治成功率的影响。方法:我科收治的
各种呼吸衰竭患者94 例, 回顾分析插管方式对于救治成功率、引发心跳骤停及其对心肺复苏效果的影响。结果:经纤维支气管
镜经口气管插管(35 例)与经直接喉镜经口(59 例)引发心跳骤停有明显统计学差异(X2=11.5 , v =1, t <0.001)。经直接喉镜经口
气管插管在术前用药与否对引发心跳骤停并无统计学意义, 但是对于引发心跳骤停后心肺复苏成功率确有明显统计学意义。结
论:经纤维支气管镜气管插管具有较高的安全性, 在经直接喉镜气管插管是选择镇静药或浅麻醉药物应慎重, 尽力避免心跳骤停
和心肺复苏失败 |
| 英文摘要: |
| Objective :To analyse retrospectively the cure rates of patients with respiratory failure(RF)using respirator under tracheal
intubation through fibrobronchoscopy or laryngoscope .Methods :94 patients (male , 53;female , 41)with RF were selected and treated
with respirator on the basis of tracheal intubation through fibrobronchoscopy(TIF)(n=35)and through laryngoscope(n=59).Results :There
was significant difference in sudden palmic stopping(SPS)between the two kinds of intubation modes(x2 =11 .5, v =1 , t <0 .001).Therewas only
1 case of SPS among 35 cases of TIF;however , 20, among 59 cases of tracheal intubation through laryngoscope .Conclusion :It is safer for
patients to use tracheal incubation through fibrobronchoscopy than through laryngoscope .So be careful in using dope or Phenobarbital before tracheal
intubation through laryngoscope and try to avoid defeating of lung -heart resuscitation. |
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