气管插管接呼吸机治疗早产儿重度窒息的临床研究

Clinical Research of Respirator in Treatment of Premature Severe Asphyxia

目的探讨气管插管接呼吸机治疗早产儿重度窒息的疗效。方法对娩出时重度窒息的140例早产儿采用适时快速气管插管接呼吸机行机械通气和非气管插管的不同复苏方法,比较重度窒息抢救成功率和复苏后的并发症。结果气管插管接呼吸机组较对照组重度窒息病死率显著降低,5min内复苏成功率高,并且复苏后并发症明显减少。结论对重度窒息儿及时气管插管接呼吸机行机械通气能有效地降低早产儿的病死率、并发症的发生率和致残率。

Objective To explore the clinical effect of endotracheal intubation added respirator in treatment of premature severe asphyxia.Methods 140 cases of premature severe asphyxia were divided into two groups. One group was treated with endotracheal intubation added respirator and other group was treated with none endotracheal intubation's resuscitation. Results The mortality was obviously decreased , resuscitation success rate rised within 5 minutes and complication were significantly decreased in group treated with endotracheal intubation added respirator.Conclusion It could significantly decrease the mortality,the incidence of complication after resuscitation and the rate of mutilation of endotracheal intubation added respirator in treatment of premature severe asphyxia.