食道-气管联合导管在院前心肺复苏中的应用(1)
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【摘要】 目的观察食道气管联合导管在院前心肺复苏中建立紧急通气道的临床效果。方法 将139例院前呼吸心跳骤停患者随机分为2组，对照组69例采用简易呼吸器，观察组70例采用食道-气管联合导管。对比操作的难易程度,操作所需时间,复苏成功率。结果 食道-气管联合导管行机械通气操作简单,所需的时间较简易呼吸器长,但一次插管成功率高，复苏成功率高于简易呼吸器手控呼吸组(P<0.05)。结论 食道-气管联合导管行机械通气操作简单、迅速、有效，气道管理方便,便于安全转运患者，进一步提高复苏成功率，值得临床应用。
【关键词】简易呼吸器；食道-气管联合导管；呼吸心跳骤停；院前心肺复苏Use of the esophageal tracheal combined tube in cardiopulmonary resuscitation of prehospital
LI ChunXia. East Hospital of Luoyang City, Henna 471003,China
【Abstract】 Objective To evaluate the effect of the esophageal tracheal combined tube to establish the emergency airway in cardiopulmonary resuscitation of prehospital.Methods 139 patients of respiration and heart arrestwere randomly divided into two groups,69 cases with the simple respirator were control group, other 70 cases with the esophageal tracheal combined tube were observation group. Degree of difficulty of operation, the time required for operation, recovery rate were compared.Results With the esophageal tracheal combined tube to establish mechanical ventilation were simple operation. The time needed was longer than that with simple respirator, but the first successful intubation was higher, recovery rate with the esophageal tracheal combined tube group was higher than that with the simple respirator group (P<0.05) . Conclusion With the esophageal tracheal combined tube to establish mechanical ventilation are simple operation, quick and efficient. The method have the advantages of airway management convenient, convenient transport patient safety, and improve the recovery rate. It is worthy of clinical application.
【Key words】 Simple respirator; The esophageal tracheal combined tube; Respiration and Heart Arrest ;Cardiopulmonary resuscitation of prehospital
呼吸心跳骤停是急诊科常见的急危重症。在院前心肺复苏中迅速建立人工气道、保证有效通气是CPR成功的关键。
我科对139例院前呼吸心跳骤停患者，心肺复苏中随机采用简易呼吸器和食道气管联合导管(ETC)两种方式建立人工通气，对临床效果进行观察。现报告如下。
1 资料与方法
1.1 一般资料 我院急诊科自2003年10月至2010年12月抢救的院前呼吸心跳骤停患者，选择非严重器质性病变且心跳骤停时间在5 min内的患者139例。按双盲法分为2组：简易呼吸器手控呼吸组 69例，食道气管联合导管行机械通气组70例，2组其余抢救措施均无差别。对比操作的难易程度,操作所需时间,一次插管成功率,复苏成功率。
1.2 方法 所有患者在人工通气前都畅通呼吸道，清除口腔内分泌物和异物。简易呼吸器组用四头带固定面罩，连接呼吸器囊手控通气；食道气管联合组用食道 气管联合导管，插入前,用注射器抽尽气囊内气体使其塑形,将联合导气管的尖端和两侧涂抹0 ......
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