院前紧急气管插管与机械通气24例临床分析

Clinical analysis about 24 cases of urgent trachea intubation and mechanical ventilation during first-aid before admitting hospital

目的总结紧急气管插管与机械通气在院前急救中应用的经验,以期提高院前急救水平。方法回顾性分析24例院前气管插管与机械通气抢救心搏呼吸骤停病人的临床资料。结果24例病人气管内插管均获成功,成功率100%。完成气管内插管的时间是15s～60s,平均时间(25±15)s。心搏、自主呼吸恢复4例(16.7%),心搏恢复8例(33.3%);心搏及自主呼吸均未恢复12例(50.0%)。结论气管插管与机械通气是急诊抢救危重病人的基础,对保证进一步心肺复苏、挽留手术机会以及提高危重患者抢救成功率有重要意义。要加强对抢救人员进行紧急气管插管和机械通气的培训。

Objective By summarizing the application experience of urgent trachea intubation and mechanical ventilation in first-aid,to increase resuscitation success rate of first-aid. Methods A retrospective analysis of 24 cases about rescucitating cardiac and breath arrest patients by urgent trachea intubation and mechanical ventilation in first-aid. Results There were 24 cases that intubated succeeds, the successful rate was 100%.The time of procedure was 15 s-60 s,and average time was 25±15 s. The cases of cardiopulmonary resuscitation were 4,the successful ratio was 16.7%, the cases of cardiac resuscitation were 8, the ratio was 33.3%; the cases of unresuscitation were 12, the ratio was 50.0%. Conclusion Urgent trachea intubation and mechanical ventilation is the basic treatment of first-aid for severe patents,and it is essential for advanced cardiopuhnonary resuscitation,grasping the opportunity of operation and improving successful rescue rate. The rescuers must train the skills of urgent trachea intubation and mechanical ventilation.