气管插管冲洗抢救婴幼儿重症肺炎痰堵20例临床分析

Clinical Observation of Washing Through Tracheal Intubation in Rescuing Obstruction by Sputum in Infant Severe Pneumonia(Report of 20 cases)

目的:探讨气管插管冲洗在抢救婴幼儿重症肺炎痰堵的治疗效果。方法:在治疗肺炎的基础上,对痰液黏稠,痰堵致呼吸困难的20例婴幼儿重症肺炎行气管插管冲洗、吸痰,开通气道,解除呼吸道阻塞。结果:20例患儿中痊愈19例,1例因就诊时间过晚,插管成功后因多脏器功能衰竭而死亡。结论:气管插管冲洗可迅速开通气道,解除呼吸道痰堵,清理上、下呼吸道分泌物,是改善通气功能,纠正呼吸衰竭和进行辅助呼吸的有效方法。

Objective： To observe the therapeutic effect of washing through tracheal intubation in rescuing obstruction by sputum in infant severe pneumonia. Methods： In 20 infants with severe pneumonia, the obstruction by sputum was cleared through washing after tracheal intubation. Results： 19 of 20 cases cured. 1 cases died in multiple organ failure for late tracheal in tubation. Conclusion：Washing through tracheal in tubation is effective in clearing obstruction in air duct, improving ventilation function, correcting respiratory failure and undergoing ventilatory support.